In preparation for the production of the film, "patients" were given case histories and background writing, and paired with their "doctors" to develop their roles. Very few scenes were scripted. The film was both produced and acted by local artists and filmmakers in Milwaukee, Wisconsin.
The film was shot in a documentary style with digital video, and combines staged reenactment (in this case, based on case histories) with improvisation. Both cast and crew lived together in the house where the film takes place.