For all new blogs, the feature is enabled by default, so you don't have to do anything. Blogs older than a certain date, however, don't have it enabled; if yours is one, and you want to learn how to make use of the feature, read on.
If you do this, it's important that you then check your blog, and make sure of the following:
When you perform this test, you should ensure you're not logged into your blog, because WP-CT doesn't require authenticated users of a blog to pass the captcha.
The reason you need to check your comment form is that this "hack" of ours can't deal with every possible comment template it might encounter. It should work in the great majority of cases, however, and is intended to make life easier for those who aren't comfortable editing template files.
If the hack hasn't done its job properly, you can get your old comment template back by pressing the button labelled "Restore".
{if $captcha_image_URL != "" && $blog_user_level == -1}
{$captcha_hidden_form_fields}
<p>
<img src="{$captcha_image_URL}" align="center">
<input type="text"
name="captcha_value_typed"><br>
Anti-spam measure: please retype the
above text into the box provided.
</p>
{/if}
The variable $captcha_image_URL contains the URL of the security image; it will be empty if the blog's owner hasn't enabled the in-form captcha. $blog_user_level (which is set only if $captcha_image_URL is also set) contains the user level of the user requesting the comment form; it has the value -1 if the user is not an authenticated blog user. $hidden_form_fields contains, as its name implies, certain hidden form fields; these are needed for the captcha to work.
The name of the form field has to be "captcha_value_typed"; otherwise, WP-CT won't be able to validate the captcha.