I think the problem is how you’re defining CBT. I see CBT as an attempt to use critical thinking or reason to intercept the DEFAULT thinking patterns which arise out of our affective responses to internal, external stimuli or both. We have to distinguish between our default thinking patterns which come out of our subconscious vs our goal oriented reasoning as a result of conscious intent. In many cases, CBT is not enough, especially if our affective responses are damaged pharmacologically. It then becomes important to understand how to mitigate faulty biochemistry and or anatomy.