If you’ve spent any time on the "emotional" side of TikTok or Reddit lately, you’ve probably seen clips of Dr. Orna Guralnik. She’s the stoic, incredibly insightful psychoanalyst who manages to stay calm while people basically unravel their entire lives in her office. It isn’t just reality TV. It's something much raw-er. But finding out exactly where is couples therapy streaming has become a bit of a headache thanks to all the recent streaming mergers.
Honestly, it used to be simple. You just went to the Showtime app. But since Showtime and Paramount+ decided to become one giant entity, things got messy.
Right now, if you are in the United States, the definitive home for the show is Paramount+ with Showtime. That "with Showtime" part is actually important. You can't just get the basic, ad-supported Paramount+ plan and expect Orna to show up on your dashboard. You need the premium tier.
The Paramount Plus and Showtime Situation
It’s 2026, and the streaming wars haven't slowed down. After the Paramount Global merger with Skydance, there was a lot of talk about where these niche docuseries would land. Luckily, Couples Therapy survived the culling. In fact, it's doing better than ever.
You can find all four current seasons on Paramount+. If you’re a Season 4 holdout, you should know they split that season into two parts. The second half (Season 4B) hit the platform in May 2025 and saw a massive 30% jump in viewership. That’s probably why they fast-tracked the Season 5 renewal.
- Platform: Paramount+ (Premium/Showtime Tier)
- Total Seasons: 4 (plus a COVID special)
- What’s new: Season 5 is currently in production with Paramount Television Studios.
If you don't want another direct subscription, you have options. You can add the Paramount+ with Showtime channel to your Amazon Prime Video account or Apple TV. Just be prepared for the bill to look the same. Some people still try to find it on Hulu, and while it used to be there via an add-on, the experience is way smoother if you just go straight to the source.
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Watching Outside the U.S. (UK, Australia, and Canada)
Streaming rights are a nightmare. You'd think a global hit would be everywhere, but it depends on where you live.
In the UK, the BBC has historically been the place to go. You can usually find earlier seasons on BBC iPlayer, though they sometimes lag behind on the newest episodes. Some viewers have mentioned that only "half" of certain seasons appear there, which is frustrating if you're bingeing. Sky also carries it for some subscribers.
Down in Australia, SBS On Demand has been a total lifesaver. They often stream it for free (with ads), which is a huge win compared to the monthly fees we pay in the States.
For Canada, it’s generally tucked away on Crave. Since Crave handles most of the HBO and Showtime library in the North, that’s your best bet.
Why Everyone is Obsessed with Dr. Orna
It’s not just voyeurism. Well, maybe a little. But Dr. Orna Guralnik brings something different. She’s a clinical psychologist and psychoanalyst based in New York, and the show isn't scripted. There are no "confessionals" where people talk to the camera. It’s just cameras hidden behind mirrors, capturing real breakthroughs and real, ugly fights.
We saw some heavy stuff in the latest episodes. There was a polyamorous triad trying to figure out their past, and a deaf man navigating the balance of sexual freedom and commitment with his hearing partner. It’s dense. It’s the kind of show you have to pause just to talk about what you just heard.
Interestingly, the show also gives us a peek into Orna's own world. We see her sessions with her advisor, where she talks about the "countertransference"—basically, how these couples' problems trigger her own stuff. It makes her feel human rather than just a "fixer" behind a desk.
Quick Streaming Checklist:
- Check your plan: Ensure you have the "Showtime" version of Paramount+.
- Look for the COVID Special: Don't skip it. It was filmed during the lockdowns and it's some of the most intense television I've ever seen.
- VPNs: If you’re traveling, a VPN can sometimes help you access your home library, but Paramount+ is notoriously picky about that.
Is Season 5 Coming Soon?
Yes. Paramount officially greenlit Season 5 in June 2025. Given the usual production cycle, we’re likely looking at a late 2026 release. The show has officially become one of Showtime’s longest-running series, second only to The Chi.
If you're all caught up and need something similar, people usually jump over to The Agency or Yellowjackets, but let's be real: nothing quite scratches the itch like watching a couple realize they’ve been arguing about the same thing for fifteen years while Orna just... waits.
Next Steps for Your Binge-Watch:
Open your Paramount+ app and search for "Couples Therapy" directly. If you only see a few episodes, double-check that your subscription includes the Showtime tier, as the basic "Essentials" plan often restricts access to these specific docuseries. If you're in the UK or Australia, check BBC iPlayer or SBS On Demand first to see if you can watch for free before paying for a new sub.