Stephanie Caus: One argument i've heard from the psychotherapy community is about what they call the treatment gap. People for whom therapy might be most useful just don't have access or resource s, she says. But if you 're really far gone, it's very likely the case that you don't get it together too and have the motivation to get yourself to a therapis office, writes Caus. "I do think that the lasting benefits are from insights," caus adds.