Crime and Punishment is the eighth episode of the second season and the 17th overall episode of Private Practice.

Short SummaryEdit

Meg Porter comes to work at Oceanside and Naomi and Dell get angry when they discover she is doing abortions. Addison and Charlotte team up to save a baby whose mother is in a coma and whos father refuses to let a C-section be done. Cooper refuses to forgive Charlotte, Violet meets a fellow psychiatrist and Violet and Sam discover that Violet's patient killed his wife because "she wanted him to".

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Dell Parker
  • Sam Bennett
  • Violet Turner
  • Sheldon Wallace
  • Meg Porter
  • Doug Adams
  • Jennifer Debray
  • Shawn
  • Ronald Debray
  • Kevin Nelson
  • Detective Fallon
  • Judge McLennan
  • Renee Olsen
  • Anesthesiologist

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Doug AdamsEdit

  • Diagnosis:
  • Treatment:
    • Counseling

Doug called Violet, his doctor, after he killed his wife in what he claimed was a mercy killing as she was dying of Wegener's disease. Violet continued to counsel him as he was jailed. She eventually got him to confess that she hadn't asked him to kill her. He had murdered her.

Kevin NelsonEdit

  • Diagnosis:
  • Doctors:
  • Treatment:

Kevin stayed at Addison's place, recovering from his gunshot wound.

Elena DebrayEdit

  • Diagnosis:
    • Coma
  • Treatment:
    • Terbutaline
    • C-Section delivery

Elena Debray found out she was pregnant the day before the accident that left her in a coma. For the next eight months, she was on life support as the fetus gestated. Her boyfriend, Shawn, wanted Addison to allow her body to labor and deliver vaginally, but she recommended against it because the baby was breech. Addison put her on terbutaline to stop the contractions temporarily while Charlotte had St. Ambrose's legal team investigate. They found out that Shawn and Elena were never married, meaning that her parents still had legal authority to make medical decisions for her in her stead. They instructed Addison to perform the c-section. However, before she could do so, Shawn petitioned the court as guardian of the fetus and stopped the process. Ultimately, a judge stepped in and convinced Shawn to withdraw his protest rather than being ruled against. Addison performed the c-section and successfully delivered their daughter. Unfortunately, Addison was unable to save Elena and she died during the surgery.

Renee OlsenEdit

  • Diagnosis:
    • Unwanted pregnancy
  • Treatment:
    • Abortion

Renee came into the practice after being referred to Meg for an abortion. However, Dell talked her out of it and she left the practice without her abortion. After speaking with Dell again, Renee came back to the practice to have the abortion.


Song Performer Scene
"You Have Been Loved" Sia
  • Addison brings the baby to her family.
  • Shawn takes the baby to see Elena.
  • Meg leads Renee out of the practice. On the way, Renee thanks Dell.
  • Meg tells Dell Renee the best decision for herself.
  • Dell tries to talk to Naomi, but Naomi walks away.
"Achin' All the Time" Ray LaMongtagne
  • Sam and Violet light a candle for Karen. Cooper comes in and sits with them.
  • Pete holds Naomi's hand as she looks out the window. She says a baby died today.
  • Addison goes to Kevin and he holds her as she cries.

Notes and TriviaEdit


See AlsoEdit

A complete overview of this episode's crew can be found here.

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