Private Practice

Addison adjusts to her new life following her choice between Jake and Sam; Violet becomes concerned when Pete is a no-show at his preliminary court hearing; and Charlotte enlists Cooper's help after receiving surprising news. Meanwhile, Amelia marks one year of sobriety, and Sheldon reconnects with his ex-wife.

The doctors gather at Addison's home for a celebration and to reflect on their shared experiences. At the same time, Sheldon provides counseling to a patient dealing with suicidal thoughts and makes a surprising revelation.

Violet seeks Sheldon's guidance after a disturbing patient confession, while Addison struggles with unspoken grief, Cooper and Charlotte adjust to recent changes, and Sam challenges Sheldon's refusal to confront the truth.

Sheldon becomes concerned when a young girl disappears from the emergency room, while Addison and Jake clash over one of Jake's cases. A new physician arrives at Saint Ambrose, and Stephanie presses Sam for details about his history with Addison.

A reality show following Sam reveals personal struggles among his coworkers. At the same time, Sam assists his mother after her employer becomes ill, while efforts continue to find a missing girl from St. Ambros.

Addison faces a challenge to her role as a parent when Henry's biological mother returns and seeks a greater presence in his life. At the same time, she reconnects with her mentor, who reveals a deeply personal and painful secret.

Jake becomes anxious when he learns a home visit with Henry's social worker might reveal a past incident. Addison grows suspicious of Jake's patient, while James continues his pursuit of Amelia.

The episode is narrated from Cooper's perspective, tracing key moments in his life from conception to a heated argument with Charlotte that puts their triplets in danger. At the same time, Violet offers support to a friend facing the difficult decision of whether to withdraw life support from her partner.

Sheldon begins a new relationship during a difficult period, finding emotional support with a new woman, while growing concerns about Nick's possible role in Sarah's disappearance begin to trouble him.

Charlotte remains in charge of hospital operations while confined to bed, and Mason begins exhibiting disruptive behavior at school.

Amelia, having maintained sobriety for over a year and making progress in her emotional recovery, participates in a series of awkward blind dates arranged by her colleagues at the medical practice.

Addison accompanies Henry to a court hearing where the judge expresses lingering concerns about Jake's history. Meanwhile, Sheldon introduces Miranda to his friends, and Cooper's plans to buy a new home are interrupted when Charlotte goes into labor.

Naomi reappears to support Addison on her wedding day, Cooper faces the challenges of life as a stay-at-home father, and Violet embarks on a meaningful new project as the series comes to a close.