Everything is in flux and balance is a hard thing to find, but good friends can point you in the right direction when all else goes astray. A villain begins to emerge this season, but even with this person's worst side broadening at every turn, they are still that -- a person coping with their own bull and just trying to put one leg in front of the other. That is a theme that permeates this season -- getting by one step at a time, one day at a time. It perfectly encapsulates a pregnancy, an engagement, a break-up, a demotion, a dismissal, a divorce, a court battle, and many other traumas that hit the ER at All Saints this season. But still, they've got it all under control. I loved this season of NURSE JACKIE and found it to be a major turning point in the series. I very highly recommend it.

"Just say no!"

On a more serious tone this time around but still very interesting. I'm wondering how this story will end, can't wait for Season Five.

I keep on expecting this show to jump the shark, and it keeps on getting better. Amazing season's finale--however, I was heartbroken to discover that there were only 10 episodes.

Another great season. While the tone and pacing may be a bit different than previous seasons (which makes sense, with Jackie trying to get clean), I still found it every bit as entertaining as previous seasons.

I was a bit surprised that this season was only 10 episodes instead of the usual 12.

Still good, but more serious.

A welcome change in storylines, including a few surprises. Acting was great, as usual, especially by Edie Falco.

Jackie comes face to face with reality in season four of Nurse Jackie. After checking into rehab Jackie leaves early against medical advice (AMA). Throughout the season Jackie fights to keep her sobriety. Jackie's life is further complicated when her husband finds out about her infidelity and files for divorce and custody of their two girls. A new administrator, a doctor, takes over control at the hospital and soon institutes many unwelcome changes. Season four is more realistic than previous seasons and comes to a bitter sweet conclusion with some very good news as well as some very bad news.