Everyone has an internal dialogue, and the words spoken in that conversation can create distress or success. She went on to explain that her shitty committee would say things like, “Oh! We went on to do really great work together, and she discharged from my care when her shitty committee was quiet and under control. Since then, I have used the concept of the shitty committee because it absolutely resonates with my patients. The impact of a loud shitty committee can be devastating to our mental health.