Therapeutic insight is useless if it does not lead to behavioral changes in the real world, similar to how physical therapy requires at-home exercises for improvement.

“we like to say that insight is the booby prize of therapy meaning you can have all the insight in the world but if you don't make changes out in the world the insight is useless so someone comes in and they're like i got into this argument with my partner and here's what happened and blah blah blah blah blah about that right and then maybe they have some insight about it but they leave and they come back the next week and they say now i understand why i got into that argument with my partner and i'll say great did you do something different well no but now it's like well okay that's a good first step but then what are you going to do differently it's like going to physical therapy if you go to physical therapy and you just go and you don't do the exercises at home that you need to do in between you're not going to improve nothing's going to change it's not going to feel better ultimately”