'This Is Us' Season 4 Episode 11: Randall's resistance is a wake-up call, will Beth drag him to therapy?

Throughout the episode, Randall grapples with his anxiety and towards the end, finally opens up about his mental woes to Kevin
Sterling K Brown as Randall Pearson and Susan Kelechi Watson as Beth Pearson (NBC)
Sterling K Brown as Randall Pearson and Susan Kelechi Watson as Beth Pearson (NBC)

'This Is Us' rolled out another heartbreaking 'Big Three' special and Randall Pearson's (Sterling K Brown) grappling mental illness left a hole in many hearts. While he pretends everything is normal, the break-in and Rebecca's illness take a toll on his mind and the demons of his past come back to haunt him. 

Throughout the episode, he grapples with his anxiety and towards the end, finally opens up about his mental woes to his brother, Kevin Pearson (Justin Hartley), saying, "I am not okay." Fans are pretty concerned about his well-being and can't stop wondering why he won't go for therapy. "Uh, yeah Randall, maybe Beth should drag your butt to therapy. Definitely long overdue," one fan said.

"Randall you have to save & take care of yourself first before you can take care of everyone. Only you can help your own self," one fan wrote and another said, "Fully sobbing at Randall breaking down on the phone to Kev... not a pretty sight at work. Love it when they do #thebigthree focussed episodes." 

One concerned fan posted, "Lump in my throat, tears in my eyes, my heart ached for Randall from beginning to end when he finally reached his breaking point and reached out for help. I hope Randall ends up going to therapy. It would help him so much."

Randall Pearson in a still from 'This Is Us' Season 4 Episode 11. (NBC)

"Darnell opened up to Randall & shared his own mental illness & seeing therapy too. Running alone won't help," another one opined.

"Randall had to skip his grief therapy with Beth because of Kate. Randall has always put everyone’s needs before his own," one tweet read and another said, "I’m getting really frustrated with Randall refusing to go to therapy."

Many viewers recalled their struggle after watching the episode. One tweet read, "Dealing with Randall's anxiety and sorting through his grief in his dreams is all too relatable for some of us. My parents are in my dreams often and not always in a nonsensical scenario. I've also got a handle on any anxiety...most of the time," and another said, "#ThisIsUs gets me every time. Tonight's episode especially hit close to home. Like Randall, I walked in on someone robbing my house in the middle of the night. I was 18. The writers of @NBCThisisUs captured the aftermath so well. Such a powerful, brilliant and honest show."

"Town meeting adding more stress to Randall. I can relate w him severe anxiety stressful triggered panicked attack & slurred speech that you can't control," another viewer wrote.

As the next episode airs on Tuesday, January 28, the big question is: Will Beth drag Randall to therapy? Because someone definitely needs to!

GET THE BIGGEST ENTERTAINMENT STORIES
STRAIGHT TO YOUR INBOX.

MORE STORIES

Emilia Clarke set the record straight on the salary rumors, one of the show's perennial talking points since the 2011 premiere
1 hour ago
With 'Star City' premiering on May 29, and two episodes streaming, the timeline and connection to 'For All Mankind' has been a talking point
3 hours ago
Kelly Baldwin’s groundbreaking discovery on Titan comes with a devastating cost as the Season 5 finale leaves her stranded with no way home
8 hours ago
Adam Rodriguez confirmed that production is already active for the historic season of 'Criminal Minds: Evolution'
8 hours ago
‘The Pitt’ leads the way with twelve nominations, while ‘Shrinking’ has emerged as the top contender in the comedy category with ten nominations.
10 hours ago
The new ‘House of the Dragon’ Season 3 trailer teases the devastating war fans expected last season, with dragons and rival claims colliding.
14 hours ago
Thirty-nine years to the day that the original ‘A Different World’ premiered in 1987, its Netflix sequel series of the same name will also premiere in 2026
1 day ago
The show will follow the duo and SailGP’s Australian team across a global racing season
1 day ago
BBC drama A Good Girl's Guide to Murder has returned with a moving tribute to Danielle Scott-Haughton at the end of the first new episode
1 day ago
'Big Little Lies' creator David E. Kelley will adapt Michael Connelly's 2024 novel into a gripping detective procedural for the streamer
1 day ago