Cognitive Behavioural Therapy (CBT) is a generally safe and effective form of therapy, it’s very unlikely to have caused you any emotional damage. However, no therapy is perfect and there are some potential drawbacks to CBT.

CBT is about challenging your negative thoughts and behaviour which will cause some discomfort.  It is likely to cause you to feel emotional distress – it shouldn’t be overwhelming, but it will be asking you to step outside of your comfort zone.  I think of CBT like having a vaccination, the discomfort is temporary and worth it for a greater goal.

CBT is not suitable for everyone e.g. people with complex mental health conditions, severe learning difficulties, or who are actively suicidal.  Also, anyone looking to recover from past trauma is likely to require a more specific form of CBT e.g. third wave therapies such as Acceptance and Commitment Therapy (ACT) or Dialectical Behaviour Therapy (DBT).

Another possible side effect of CBT is that changing your thoughts and behaviours may put a strain on your relationships with others. Uncovering and addressing unhelpful thought patterns may sometimes lead to disagreements or conflicts with family or friends. This can lead to difficulties that weren’t there before CBT.

If you are engaging in CBT with a therapist, the effectiveness and potential risks of CBT depend heavily on the therapist’s competence and experience. It’s important to find a therapist who you feel comfortable with and who is qualified to treat your specific condition. If you experience any negative side effects from CBT, be sure to talk to your therapist about them.

Finally, if you have unrealistic expectations of CBT you could become disappointed and disillusioned.  CBT is not a quick fix. It takes time, effort, and consistent practice to see significant changes. Setting realistic expectations can help you stay motivated and avoid frustration.

Overall, CBT is a valuable tool for many people, but it’s important to be aware of the potential risks and limitations.