I disagree with the third paragraph. I think it's directed not at people who are "literally unable to tear themselves away from the game long enough to go to a therapy session in real life" but at people are simply unwilling to - and I say this from (sort-of) personal experience. A person in this situation, to some extent, likes it, and falling into dangerous lifestyles from force of habit is too easy. I can't imagine them ever wanting to go therapy in real life - but they could humor a person talking to them online (whether on WoW or just an IM client) simply because it doesn't take effort towards something they're already put off by.