The episode was written by supervising producer Jessica Sharzer and directed by Michael Uppendahl.
In this episode, Ben (Dylan McDermott) sees a patient who fears an urban legend about a man who slaughters those who say a special mantra into a mirror.
After Violet finds out that Tate killed the teenagers, Constance introduces her to a medium, Billie Dean Howard.
Ben sees a new patient, named Derek, who is terrified by urban legends, including "Piggy Man".
Ben also begins noticing that Vivien has developed an attraction to the security officer Luke.
Taking Ben's advice to face his fear, Derek repeats the chant in his bathroom mirror, but is shot and killed by an armed burglar hiding in his shower.
The episode was written by supervising producer Jessica Sharzer, and directed by Michael Uppendahl.
[2] Carissa Pavlica of TV Fanatic gave the episode 4.7 out of 5 stars, saying, "I have absolutely no idea what is happening on American Horror Story and I love every moment of it.