This is the last episode to feature Tamara Tunie while being credited as a main cast member. From season thirteen onwards, she will be credited as a "Special Guest Star."
June asks Dr. Jackson if he is a psychologist, to which he replies "psychiatrist actually, same difference, just a few more days of schooling", which is a simplistic, but accurate statement. Most psychologists have a Masters of Psychology degree, which consists of four years of college and two years of graduate schooling, though psychologists can also earn a Doctor of Psychology degree (PhD), which usually takes an additional year or two of graduate school. Whereas a psychiatrist goes to four years of college and four years of medical school, then spends two years interning in a hospital practicing general medicine and another two years in a fellowship, where they train under a experienced psychiatrist to become certified in the specialty of psychiatry; all told a psychiatrist spends 12 years in school and training before they are able to practice medicine on their own. Unlike psychologists a psychiatrist is a medical doctor (MD); the main difference in terms of how they practice is that psychologists focus extensively on psychotherapy and treating mental and emotional issues but since they did not attend medical school psychologists are not medical practitioners and cannot prescribe medications. Whereas psychiatrists, being MD's and licensed medical practitioners, can prescribe medications and focus on treating mental illness through the use of psychopharmacology, though they also use therapy to treat patients as well. Often times people with chronic mental and/or emotional troubles will see both a psychologist for therapy and a psychiatrist for medication treatment and management.