Psychotherapy is remarkably effective. Fifty years of research provides overwhelming empirical support for the practice. At the same time, study after study shows that the majority of people who could benefit from seeing a therapist never go. Put more bluntly, they would never even consider going. Of those who start, between 25 and 50% unilaterally discontinue prior to experiencing any benefit from the service. Stigma, ignorance, denial, and lack of motivation are the most common reasons cited by professionals for people either not seeking help or dropping out of treatment. Research provides another explanation.