I've found CBT actively harmful for mental health struggles that result from ill health and physical disability. Like if I'm anxious about whether I'm strong enough to make it to the bathroom, CBT techniques seem to involve pretending that falling and pissing yourself on the floor isn't a real risk that needs to be accounted for.

Sometimes you're stuck in a situation with no win state and the last thing that's useful is gaslighty bullshit that ignores reality.