The staff were able to get the central cast of Cheers (1982), with the exception of Kelsey Grammer, to reunite and guest star in the episode. The staff could not arrange the script to allow time in the episode for Grammer, who already had a recurring role as Sideshow Bob, to voice Frasier Crane.
The story of the episode came about when David Sacks came into the writers' room with an idea for an episode where Marge goes to a therapist "for one reason or another". Sacks and the other writers then structured the rest of the plot around that storyline.
While they were seen previously in Moe's Tavern during Flaming Moe's (1991), Lenny and Carl officially become regular patrons at Moe's Tavern in this episode.
Homer's Mount Lushmore caricature resembles Eustace Tilley, the mascot of The New Yorker.
The full opening sequence intro returns in this episode. This and 'Round Springfield (1995) are the only two episodes in Season 6 to use the full opening.