When Niles reveals that Maris, still unseen, has become fat, he tells Frasier and Roz that she was always a heavy child. In the Season 2 episode "Burying a Grudge," he says she was hospitalized for common childhood ailments: tonsils, adenoids, and forced feedings.
The title is based upon a line from William Shakespeare's play "Hamlet." "This above all, to thine own self be true."
Jane Adams (Dr Mel Kamofsky) and Saul Rubinek (Donny Douglas) also worked together on the film "I Love Trouble (1994)."