Ep 1. God Laughs

In Private Practice season 5 episode 1, titled "God Laughs," viewers are reintroduced to the staff of Seaside Wellness Center. The episode begins with Addison's visit to a Connecticut prison to see her brother, Archer, who is serving a life sentence for murder. While there, Addison tells Archer about her recent experiences, including her failed attempts at motherhood, which leads to heated emotions between the siblings.

Back at the office, Addison's coworkers each have their own personal struggles to overcome. Sam deals with a tough decision as he decides whether to keep a secret from his sister, who is undergoing fertility treatment. Meanwhile, Cooper struggles with his personal life as he gets closer to his son and fights to keep his marriage together.

Additionally, Charlotte returns from her stay in a mental institution after her brutal assault, and works with Pete to adjust to her new life. Violet, on the other hand, uses her writing to cope with the personal issues she is dealing with. In the midst of this, a well-known television host visits the wellness center, seeking medical advice, but she ends up revealing more than she intended.

As the episode progresses, viewers see the struggles of each character play out in different ways. The staff's personal lives intertwine with their work as they deal with a new case involving a couple who are struggling with fertility issues. While the medical aspects of the case are difficult, the staff must also navigate the couple's rocky relationship, leading to some heated discussions and revelations.

All the while, Addison reflects on her own life and the choices she has made, wondering if she has made the right decisions. She begins to realize that even she, someone who helps others every day, needs help too. As the episode ends, the staff comes together, showing their support for each other's struggles and remind each other that they are not alone.

Overall, Private Practice season 5 episode 1 demonstrates the struggles of each character as they navigate their personal lives while also helping others. The episode showcases both the difficult medical cases the staff faces, as well as the personal battles each individual endures, highlighting the theme that everyone needs support, no matter who they are or what they do.