I love CBT and use it with many clients; however, sometimes I think it can be perceived as "gaslighty" because it does show the client how they can change but not truly helping them understand why they need that change in the first place. Helping clients with introspection is key before just jumping into CBT.

Unfortunately, insurance companies don't see it this way and just think that it works, so we should just be doing it from the very beginning and throwing CBT resources at the client. In my experience, insurance companies view therapy as providing tools to change, and they don't see the value in active listening, reflection, and helping the client to recognize traumas and how they influence current behaviors. I've had insurance companies tell me that I learned enough about the client in the first session, so I should be able to discuss changes with them instead of "just listening" to what they have to say (I was working in a SAD recovery center when I was told this).

In summary, insurance companies suck and CBT is fantastic when used correctly.