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In Treatment is an HBO drama, produced and developed by Rodrigo Garcia, about a psychotherapist, 53-year-old Dr. Paul Weston, and his weekly sessions with patients. The program, which stars Gabriel Byrne as Paul, debuted on January 28, 2008, as a five-night-a-week series. The program's format, script and opening theme are based, often word for word, on Hagai Levi's successful Israeli series BeTipul , which won every possible award for a drama series in the Israeli Academy Awards. After winning critical acclaim and numerous honors, including Emmy, Golden Globe and Writers Guild awards, In Treatment returned for a second season, premiering on April 5, 2009.

Overview

Each episode of In Treatment focuses on one patient, including Paul, who is seeing his clinical supervisor and psychotherapist, Gina, played by Dianne Wiest. The first season included 43 episodes, each airing a different night of the week, Monday through Friday. The first season covered nine weeks for most of the characters, except in the final week, which did not have Monday- and Tuesday-night installments.

The series was renewed for a second season on June 20, 2008, with Byrne, Wiest and Glynn Turman returning. Michelle Forbes, who played Paul's wife in the first season, has made two brief appearances in the second season. Production on Season 2 began in New York City in the fall and wrapped up in early 2009. According to the New York Times, production relocated to New York from Los Angeles at the insistence of Byrne, who otherwise threatened to resign. The move and the addition of Sunday night to the schedule were considered votes of confidence in the series by HBO executives.

HBO Canada, a multiplex channel that includes The Movie Network in Eastern Canada and Movie Central in Western Canada, is airing the program simultaneously with HBO in the U.S. During the first several weeks of Season 1, episodes were available on HBO's website in streaming video. The free service was discontinued, however, when Apple's iTunes and Amazon Unbox began offering the first 15 shows for download.

Cast and characters

Gabriel Byrne is Paul Weston, a charming, relentless psychotherapist, who is seeking his own peaceful existence, free of self-doubt and ambivalence. Paul is a graduate of Columbia University, where he earned his bachelor's and master's degrees, and received his Ph.D. from The New School. In the summer of 1988, he moved to Maryland, where he worked at the Baltimore Psychotherapy Institute and later established his private practice.

Paul's family has ongoing cameo appearances in various episodes of Season 1:

  • Michelle Forbes is Paul's wife, Kate. Their marriage ends at the close of the first season, a result of Paul's unconsummated obsession with his patient, Laura, and the extramarital affair Kate pursued in response to the lack of emotional intimacy in their marriage.
  • Jake Richardson is Ian, their college-aged son.
  • Mae Whitman is Rosie, their teenage daughter.
  • Max Burkholder is Max, their youngest son (9-years-old in the first season).

In the second season, Paul's ex-wife and children for the most part remain in the background, although Kate, Rosie and Max all make appearances.

Season 1

Set in Baltimore, Paul has a private entry office in his home. During this season, the episodes aired on their eponymous days of the week.

By the end of the season, Paul finally succumbs to his attraction to Laura, but a panic attack prevents him from following through and he leaves her. Laura discontinues her therapy with Paul, but it is later revealed that she still holds him in high regard when she offers praise of him in a legal deposition.

Alex, who at one point meets Laura and has a brief affair with her, ends his therapy and returns to the military, just as Paul was beginning to make progress with Alex's repressed insecurities. Alex is killed during a training exercise, and while his death is originally ruled an accident, Paul is plagued with guilt that Alex's death may have been a suicidal reaction caused by the traumas of theraputic reflection. In the second season, Alex's father sues Paul for failing to prevent Alex's death.

Sophie benefits greatly from therapy with Paul and begins to repair her relationship with her parents. She leaves gymnastics and therapy to pursue college. In season two, Paul learns from a message board post that Sophie credits him for saving her life and is now living happily.

Amy experiences a miscarriage and then has an affair with her boss. She and Jake finally, and sadly, decide to end their tumultuous marriage and split custody of their son. Jake thinks the therapy was helpful, but Amy thinks it hurt their marriage.

Throughout the season, Gina and Paul battle each other over issues regarding their shared history and opposing views, but by the finale it appears that they have made peace and will continue therapy.

Season 2

Paul, now divorced and very lonesome, has relocated to Brooklyn, and uses the living room of his small refurbished walk-up brownstone for his office visits. He has brought his books and his patient files with him to his new digs. He has been served with a malpractice lawsuit, and is completely preoccupied with the consequences all that might entail.

Paul's personal neurotic and self-aggrandizing behavior was a significant theme throughout the series. He identified with all of his patients' issues and interpersonal conflicts on some level. Ironically, he was their composite personality, except he was intended to be the resolution expert. His self-doubt and feelings of personal inadequacy revealed over the seven weeks made him appear even more vulnerable than those he was treating. As the final episode drew to a close, Paul pulled the plug on his own desire for treatment, with the same ambivalence his patients had exhibited. Was it really making a difference? The lawsuit was dismissed as frivolous, and his angst involving his professional competency was at the least, temporarily alleviated.

The final symbolic message Paul delivered to his audience by that decision was, there are times in one's life when therapy is valuable for a person to become more grounded in reality. However, more often than not, therapy alone only serves as a road map to find a patient's way in the world. It is the universal message that achieves personal satisfaction: "God helps those who help themselves." Given enough time and patience, and by accepting that there are external forces that cannot be controlled, everything in life tends to work out for the best.

The season had seven episodes for each character. The "Monday" and "Tuesday" sessions aired back-to-back on Sundays, while the remaining three ran on Mondays. HBO repeated the episodes in sequence, several times each week. The season's executive producer was Warren Leight, who previously worked on Law and Order: Criminal Intent.

Season 3

Following the final episode of the second season, Leight said in an interview that a third season remains a possibility, but pointed out that the show has been exhausting for everyone involved and also has been somewhat less than a "breakout hit" for HBO.

On October 23, 2009, HBO announced that it had picked up In Treatment for a third season. Production will begin in early 2010 for a premiere later in the same year.

Critical response

Critical acclaim arrived quickly with the show receiving a rating of 70 out of 100 on metacritic. The Los Angeles Times' Mary McNamara called it "cleverly conceived," well-written and -acted, though "stagey" and "strain... believability". Variety 's Brian Lowry deemed it "more interesting structurally than in its execution". On Slate , Troy Patterson found it tiresome for its "nattering" and "ambitious hogwash". In Entertainment Weekly , Ken Tucker gave it a "B+", with "lots of great soapy intrigue". The New York Times praised the show: " In Treatment is hypnotic, mostly because it withholds information as intelligently as it reveals it. The half-hour episodes are addictive, and few viewers are likely to be satisfied with just one session at a time. In Treatment provides an irresistible peek at the psychopathology of everyday life — on someone else’s tab."

Differences from BeTipul

The script of the first season of In Treatment is heavily based on BeTipul' s Hebrew script, and the Israeli writers are credited in the episodes' final credits. The following are the main differences between the shows:

  • In Treatment skips the first 2 episodes of the last week, unlike BeTipul , making its first season two episodes shorter.
  • In Treatment' s episode 36, which takes place outside of the therapist's office, is completely absent in BeTipul .
  • Paul's interactions with his son, Ian, has no equivalent in BeTipul , as the therapist's oldest son is away in the army for the entire first season. Instead, that entire episode is dedicated to the therapist's talk with his daughter, which is interrupted in the American episode.
  • The treated pilot's military association.
  • The treated pilot's father's life and cultural background and his difficult experiences with his father. (In the Israeli version, the pilot's father is a Holocaust survivor.)
  • Avi Belleli's opening theme was considerably shortened for the American series.
  • In season 2 of BeTipul, Oliver is portrayed as the son of

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