Therapy, especially something very surface-level like CBT, is less efficacious when your daily life actually generally sucks. Depression is a rational response

Therapy, especially something very surface-level like CBT, is less efficacious when your daily life actually generally sucks. Depression is a rational response to a shitty life that doesn't seem to be getting better any time soon. Anxiety and hypervigilance are rational responses to some kinds of difficult-to-escape toxic relationships. It didn't start working for me until I separated from my birth family. I completely buy that, in addition to what the article says, minorities have a rougher time with cognitive therapy because their life tends to suck more on average, in ways that you can't think your way out of.