The shot of Carmela in Dr. Melfi's waiting room that shows her triangularly framed by the legs of a sculpture of a naked woman duplicates the exact same framing of Tony in the same waiting room in the first shot of the first scene of the series' first "Pilot" episode in 1999.
Director Mike Nichols was originally cast as Dr. Krakower but had to bow out. Sully Boyar plays Krakower but Nichols was still credited in the original broadcast. This was corrected in the DVD and all subsequent repeats.
Actor Sully Boyar whose remarkable presence as a psychiatrist had such an impact both on Carmela Soprano as well as on many viewers, died suddenly at age 77, while waiting for a bus in New York City, just one month before this episode aired.
The original air date of this episode was April 8, 2001. Sully Boyar (who played Dr. Krakower, Carmela's would-be therapist) died of a heart attack a few weeks earlier on March 23, 2001.