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The fourth season of Private Practice premiered on September 23, 2010, and concluded on May 19, 2011. The season consisted of 22 episodes.
- Episode 1: Take Two
- Episode 2: Short Cuts
- Episode 3: Playing God
- Episode 4: A Better Place to Be
- Episode 5: In or Out
- Episode 6: All in the Family
- Episode 7: Did You Hear What Happened to Charlotte King?
- Episode 8: What Happens Next?
- Episode 9: Can't Find My Way Back Home
- Episode 10: Just Lose It
- Episode 11: If You Don't Know Me By Now
- Episode 12: Heaven Can Wait
- Episode 13: Blind Love
- Episode 14: Home Again
- Episode 15: Two Steps Back
- Episode 16: Love and Lies
- Episode 17: A Step Too Far
- Episode 18: The Hardest Part
- Episode 19: What We Have Here...
- Episode 20: Something Old, Something New
- Episode 21: God Bless the Child
- Episode 22: ...And to Change the Things I Can
