CBT effectiveness is highly overstated, from anecdotal experience and talking with psychiatrists in a social setting.

It works for a subset of the population that doesn’t question stuff too much and is more or less ok with gaslighting themselves. There is evidence that it loses effectiveness the higher up the IQ scale you go.

The vast majority of mental health issues are a “not treating the root causes” problem. People stuck in a life they despise for various reasons and have no realistic way of changing those root causes. This ranges everywhere from the single mom with 3 kids and an eviction notice all the way to the high powered corporate executive stuck in an empty do-nothing career path.

Not everyone is wired the same but we’ve created a society that you must conform to extremely rigid norms or be at risk of destitution.