It followed a three-year hiatus, during which Wainwright moved from England (where he had recorded his previous two albums) back to the USA.

Compared with those two, Therapy was not well received, but outstanding tracks have subsequently appeared on live albums (e.g. "Thanksgiving" on Career Moves).

All tracks composed by Loudon Wainwright III The only single from Therapy, "T.S.D.H.A.V.

", actually did have one, featuring Wainwright singing the song in an easy chair; he gets up from the chair for a moment to answer the telephone (a PLEASE STAND BY graphic appears on the screen).

can be found on the b-side of Wainwright's one-off single "If Jesse Don't Like It", which was also recorded before an audience.