I believe it is up to every person to decide whether or not they want to address spiritual issues in this life. Most people do decide that it is important to develop a sense of meaning in their lives, and to put in place ethical standards to live by.  

Working on spiritual issues can also mean the cultivation of a spiritual path, practicing faith or religion or creating a personal lens that helps one to organize the way they interact with the world. All of these can be key components in psychotherapy.

Psychotherapy can make the difference between living a vital and important life, just going around in circles, or making a mess out of one's life.