What is intensive cognitive behavioral case management (CBCM)? Would being intensively case managed be pleasant? CBT can only help with the minor problems that are caused by misunderstandings and miseducation. CBT based intensive psychotherapy is an oxymoron because major mental health difficulties are not caused by incorrect thought patterns. They are caused by the person being damaged. A useful follow up study would be to compare people who recieve practical and emotional help and support, to people who receive CBCM. It may be that being intensively case managed and the cognitive reprogramming aspect of the psychotherapy were actually detrimental.