From Episode 61 "Unidentified Black Males", Tony is finally realizing how coming clean to his cousin (Steve Buscemi), and why it was essentially his fault that he went to prison for 17 years, would serve beneficial to himself and his recurring panic attacks. The quote below is between him and his psychiatrist. Tony feels relieved after telling her the true story about him and his cousin. Instead of a universal analogy such as "weight off one's shoulders" or "monkey off one's back", Tony uses his own words to describe how medicating therapy can be...
Anthony 'Tony' Soprano Sr.: It's (therapy) like taking a big shit.
Dr. Jennifer Melfi: Ok. I actually like to think about it as a childbirth.
Anthony 'Tony' Soprano Sr.: Trust me. It's like taking a shit.
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