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Psychotherapies of depth, insight and relationship have increasingly found themselves to be marginalized, or omitted altogether, from public conversations about how to help those who are suffering, as well as from professional discourse. A perfect storm of social, economic, technological and institutional forces, including self-inflicted wounds, have combined to undermine efforts to make in-depth treatment accessible to all of those who could find it of benefit, and especially to those who need it most. In short, psychotherapy finds itself in the crosshairs and at a crossroads. In order to respond to the threats to depth therapy, and to promote its value and benefits, PsiAN was created as an interdisciplinary advocacy organization. Our membership spans theoretical orientations, pathways to training, and clinical contexts, and this diversity represents our strength, power and capacity to advocate for change. We hope this push for change will not only benefit the field of mental health as a whole, but also help us to view our own profession with new eyes, as an appreciation of social context is incorporated further into our work. The goal of our efforts is to enhance and revitalize the perceptions, values and uses of depth therapies in the eyes of the public, policymakers and our own professions.