Cognitive behavioral therapy is the first choice for treatment for many disorders. If CBT does not work for you, it sometimes help to combine it with pharmacotherapy. If all of these do not help sufficiently, your practitioner will look at why CBT does not seem to be effective enough. In that case, another form of therapy may be a better fit, such as schema therapy. Sometimes it may also be that the exercises are just not being performed in the right way, so you are not benefiting from the positive effects. This will vary from person to person and must be considered on a personal basis.