The Showtime docuseries, Couples Therapy, has concluded its fourth season, leaving viewers wondering about the authenticity of the show. Is it a genuine portrayal of therapy sessions, or is it staged for the cameras?

What is Couples Therapy?

Couples Therapy, created by Josh Kriegman, Elyse Steinberg, and Eli Despres, features therapist Dr. Orna Guralnik guiding couples through emotional and revealing therapy sessions. The show aims to present the participants and the therapy process with empathy and not sensationalism.

Is the Show Real?

Yes, the show features real couples filmed during therapy sessions that span multiple weeks. However, the office setting is not real; it's a set built on a soundstage in Brooklyn, with hidden cameras capturing the sessions.

• The creators wanted to capture the sessions from any direction, using a 360-degree shooting setup.
• The cameras are concealed behind one-way glass, and the participants never interact with production or see a camera.

Who is Dr. Orna Guralnik?

Dr. Orna Guralnik is a clinical psychologist and psychoanalyst based in New York City. She has been working as a psychologist seeing individuals and couples since the mid-1990s. She is also a faculty member at New York University's Postdoctoral Institute for Psychoanalysis.

Are the Couples Real?

Yes, the people on Couples Therapy are real. Producers interview over 1,000 couples, looking for people who truly want to get therapy. The couples are selected based on their willingness to withstand the pressure and anxiety of the project.

Will There Be a Season 5?

In June 2025, Couples Therapy was renewed for a fifth season. The premiere date is unknown, but the first part of season 4 aired in June 2024, and the second part premiered in May 2025.

Where Can I Watch Couples Therapy?

Couples Therapy airs on Showtime and is available to stream on Paramount+ with Showtime. Catch up on the latest season and get ready for the upcoming season 5!

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