Couples Therapy is an American television series on the Showtime network.

The entire back half of the season was put up for streaming and on-demand viewing through Showtime on this date; linear airings were two episodes per week.

[6][7] The fourth season premiered on May 31, 2024 in full on the Paramount+ streaming service's Paramount+ with Showtime tier as well as on Video On Demand on cable, satellite, and streaming services for subscribers to the Paramount+ with Showtime linear channel.

They didn't want to show drama to the audiences, but the deep work that real therapy entails.

[9] Orna Guralnik, the couples' therapist, meets her patients for the first time when they enter her practice.

Her practice features many cameras hidden behind a one-way mirror that surrounds the room.

[16] Along with the directors Eli B. Despres and Elyse Steinberg, Kriegman planned a reality TV series for Showtime.

It was important to her that the TV series is very close to real therapy instead of relying on dramatization.

[16] A variety of couples should be shown, who differ in age, sexual orientation, gender identity or ethnicity.

The books, the distance between the therapy chair and the couch for the couples were all taken from Guralnik's own office.

[21][22] TCA Awards On July 26, 2022, the Australian streaming portal Paramount+ began airing a series of the same name.