I like to think of psychotherapy as being like branded medications. When one is treated with a medication one gets a standard pill with research behind it to indicate its clinical utility, likely efficacy, and likely side effects. In my view, the same should hold true for other treatments, including psychotherapy. Having taken histories from a number of patients and asked what kind of psychotherapy they received, for the most part what they seem to be getting is supportive therapy. There are absolutely no data about the efficacy of this therapy for depression, nor is there any standardization of this type of therapy. Why pay money for a treatment if the treatment is not standardized and not shown to be effective?