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Framework Comparison & Compatibility

Detailed comparison of all 14 counseling frameworks in the Counsel system.


Quick Selection Guide

Not sure which framework fits? Use /counsel and it will select automatically. This document is for understanding the frameworks in depth.

If the core issue is... Start with Then consider
Anxious thoughts, worst-case scenarios CBT MBCT, ACT
"I must / I should" rigid thinking REBT CBT, ACT
Avoiding feelings or situations ACT MBSR, CBT
Wanting quick, concrete change SFBT MI, PPT
Knowing you should change but can't MI SFBT, ACT
Loss of meaning, burnout PPT ACT, SFBT
Physical stress, tension, pain MBSR MBCT, DBT Skills
Recurring depression, rumination loops MBCT CBT, MBSR
Identity struggles, feeling "labeled" Narrative Therapy IFS
Inner conflict, self-criticism IFS ACT, PPT
Grief, bereavement, loss Worden's Grief PCT, Narrative
Emotional explosions, impulsivity DBT Skills MBSR, IFS
Couple/relationship conflict Gottman MI
Just want to be heard PCT Active Listening

Detailed Framework Comparison

Theoretical Orientation

Framework Wave Orientation Change Mechanism
CBT 2nd Cognitive-Behavioral Change thoughts to change feelings and behavior
REBT 2nd Cognitive-Behavioral Dispute irrational beliefs to rational ones
ACT 3rd Contextual Behavioral Change relationship to thoughts, not the thoughts themselves
SFBT Post-modern Solution-Focused Amplify what already works
MI Integrative Humanistic + Behavioral Resolve ambivalence through guided self-motivation
PPT Positive Psychology Humanistic Build strengths and well-being (not just reduce symptoms)
MBSR 3rd Mindfulness Present-moment awareness transforms stress response
MBCT 3rd Cognitive + Mindfulness Decentering prevents depressive relapse
Narrative Therapy Post-modern Social Constructionist Separate person from problem; re-author stories
IFS Integrative Systems / Humanistic Self leadership heals wounded inner parts
Worden's Grief Integrative Task-Based Active mourning tasks restore functioning
DBT Skills 3rd Dialectical Behavioral Balance acceptance AND change; learn concrete skills
Gottman Empirical Behavioral / Systems Research-based relationship patterns and repair
PCT 1st Humanistic Therapeutic relationship activates self-actualization

Key Techniques

Framework Signature Techniques
CBT 7-column thought record, Socratic questioning, behavioral experiments, downward arrow, activity scheduling
REBT A-B-C-D-E model, disputing irrational beliefs, shame-attacking exercises, unconditional self-acceptance
ACT Hexaflex, cognitive defusion ("I notice the thought..."), values clarification, passengers on the bus, choice point
SFBT Miracle question, scaling questions, exception finding, coping questions, compliments
MI OARS (Open questions, Affirm, Reflect, Summarize), change talk elicitation, decisional balance, readiness ruler
PPT Character strengths survey (VIA), three good things, gratitude letter, savoring, best possible self
MBSR Body scan, sitting meditation, walking meditation, mindful yoga, 3-minute breathing space
MBCT 3-minute breathing space, decentering, pleasant/unpleasant events calendar, seeing thoughts as mental events
Narrative Therapy Externalization, unique outcomes, re-authoring, outsider witness, definitional ceremony, tree of life
IFS 6 F's (Find, Focus, Flesh out, Feel toward, beFriend, Fear), parts mapping, Self-energy check (8 C's), unburdening
Worden's Grief Four tasks of mourning, continuing bonds, meaning reconstruction, grief-specific assessment
DBT Skills TIPP, STOP, opposite action, PLEASE, DEAR MAN, radical acceptance, wise mind
Gottman Four Horsemen + antidotes, Love Maps, turning toward, dreams within conflict, repair checklist
PCT Unconditional positive regard, empathic reflection, congruence, non-directive presence

Duration & Structure

Framework Typical Duration Session Structure Homework
CBT 12-20 sessions Highly structured (agenda, mood check, topic, homework) Yes, central
REBT 10-20 sessions Structured (A-B-C-D-E progression) Yes, disputation practice
ACT 8-16 sessions Semi-structured (hexaflex guided) Yes, values exercises
SFBT 1-5 sessions Minimal structure; client-led Optional; "notice what works"
MI 1-4 sessions Semi-structured; spirit-led Rarely formal
PPT 14 sessions (protocol) Structured positive exercises Yes, strength-based
MBSR 8 weeks (group) Highly structured program Yes, daily meditation
MBCT 8 weeks (group) Highly structured program Yes, daily practice
Narrative Therapy Variable Flexible, conversation-based Optional; letters, documents
IFS Variable Semi-structured (6 F's) Optional; inner check-ins
Worden's Grief Variable Flexible, task-guided Rituals, journaling
DBT Skills 24 weeks (group) Highly structured modules Yes, diary cards
Gottman Variable Assessment-driven Yes, relationship exercises
PCT Variable Unstructured; client-led None formal

Evidence Base

Framework Evidence Level Primary Conditions with Strong Evidence
CBT Very strong Depression, anxiety disorders, PTSD, OCD, insomnia, chronic pain
REBT Strong Anxiety, anger, depression, low frustration tolerance
ACT Strong Chronic pain, anxiety, depression, substance use, OCD
SFBT Moderate-Strong Depression, family conflict, behavioral problems, school issues
MI Very strong Substance use, health behavior change, treatment adherence
PPT Moderate Depression (mild-moderate), well-being enhancement
MBSR Strong Stress, chronic pain, anxiety, immune function
MBCT Very strong Depression relapse prevention (50% reduction)
Narrative Therapy Moderate Depression, PTSD, grief, eating disorders, family conflict
IFS Growing PTSD, depression, anxiety, rheumatoid arthritis
Worden's Grief Strong Normal and complicated grief
DBT Very strong Borderline PD, suicidality, self-harm, eating disorders
Gottman Very strong Relationship distress, divorce prevention
PCT Strong (foundational) Wide range; core conditions enhance all therapies

Compatibility Matrix

Synergy Ratings

How well frameworks work together (5 = exceptional synergy, 1 = conflicting approaches).

CBT REBT ACT SFBT MI PPT MBSR MBCT Narr. IFS Worden DBT-S Gottman PCT
CBT - 5 3* 4 3 4 4 5 3 3 3 4 3 2*
REBT 5 - 2* 3 2* 3 3 3 2 3 2 3 2 2
ACT 3* 2* - 4 5 4 5 4 4 5 4 4 3 4
SFBT 4 3 4 - 4 5 3 3 2* 3 3 3 3 3
MI 3 2* 5 4 - 4 3 3 3 3 3 3 4 4
PPT 4 3 4 5 4 - 4 4 4 4 3 3 3 4
MBSR 4 3 5 3 3 4 - 5 3 4 4 5 3 4
MBCT 5 3 4 3 3 4 5 - 3 4 3 4 3 3
Narr. 3 2 4 2* 3 4 3 3 - 5 5 3 3 4
IFS 3 3 5 3 3 4 4 4 5 - 4 4 3 4
Worden 3 2 4 3 3 3 4 3 5 4 - 3 2 5
DBT-S 4 3 4 3 3 3 5 4 3 4 3 - 3 3
Gottman 3 2 3 3 4 3 3 3 3 3 2 3 - 3
PCT 2* 2 4 3 4 4 4 3 4 4 5 3 3 -

* = Tension pair. Can work together but requires careful sequencing (see Tension Pairs below).

High Synergy Pairs (score 5)

Pair Why They Work Together
CBT + REBT Same cognitive-behavioral family; REBT handles "musts," CBT handles distortions
CBT + MBCT MBCT was literally built on CBT; cognitive restructuring + mindfulness decentering
ACT + MI Acceptance + intrinsic motivation; the most powerful combination for "stuck" situations
ACT + MBSR Mindfulness is already a core ACT process; MBSR deepens it
ACT + IFS Both embrace multiplicity; ACT's defusion + IFS parts work complement naturally
SFBT + PPT Both focus on strengths and what works; solution amplification + positive psychology
MBSR + MBCT MBCT was built on MBSR; same mindfulness foundation
MBSR + DBT Skills Mindfulness is DBT's core module; MBSR provides depth
Narrative + IFS Stories externalize what parts internalize; deep identity work
Narrative + Worden Re-authoring grief stories; meaning-making in loss
Worden + PCT Unconditional acceptance is the foundation grief work needs

Tension Pairs (score 2*)

These can be used together but require resolution strategies:

Pair Tension Resolution
CBT + PCT CBT seeks to change thoughts; PCT provides unconditional acceptance without agenda Accept fully via PCT first, then apply CBT when the person is ready
CBT + ACT CBT changes thought content; ACT changes relationship to thoughts Use ACT defusion first, then CBT restructuring for specific distortions
REBT + ACT REBT actively disputes beliefs; ACT does not engage with content Address REBT's "musts" using ACT's defusion frame ("I notice the demand...")
REBT + MI REBT is directive (disputing); MI is non-directive (eliciting) Use MI to confirm readiness and motivation before applying REBT disputation
SFBT + Narrative SFBT is quick/future-focused; Narrative explores deep stories Start with SFBT for rapid relief, then deepen with Narrative if identity work is needed

Recommended Combinations by Situation

Anxiety Spectrum

Subtype Recommended Notes
Generalized worry CBT + MBCT Gold standard combination
Social anxiety CBT + ACT Thought restructuring + values-based exposure
Panic attacks CBT + MBSR Cognitive tools + body-based grounding
Health anxiety CBT + ACT Evidence examination + acceptance of uncertainty
Performance anxiety CBT + SFBT Distortion correction + past success amplification

Depression Spectrum

Subtype Recommended Notes
First episode, mild-moderate CBT + PPT Restructuring + strength building
Recurring depression MBCT + CBT Relapse prevention (MBCT has strongest evidence here)
Depression with apathy PPT + SFBT Meaning + small actionable steps
Depression with self-criticism IFS + ACT Parts work + self-compassion via acceptance
Depression with rumination MBCT + MBSR Decentering + mindfulness practice

Relationship Issues

Subtype Recommended Notes
Couple conflict patterns Gottman + MI Pattern identification + motivation for change
Communication breakdown Gottman + NVC (howtotalk) Four Horsemen antidotes + empathic expression
Relationship ambivalence MI + IFS Explore motivation + inner parts in conflict
Post-separation adjustment Worden + Narrative Loss processing + identity reconstruction

Identity & Self

Subtype Recommended Notes
Inner conflict IFS + ACT Parts dialogue + psychological flexibility
Self-criticism IFS + PPT Befriend the critic + build on strengths
Stigma / labels Narrative + ACT Externalize + defuse from identity stories
Burnout / meaninglessness PPT + ACT PERMA well-being + values reconnection
Perfectionism REBT + ACT Dispute "musts" + accept imperfection

Crisis & Acute Distress

Subtype Recommended Notes
Emotional overwhelm DBT Skills + PCT TIPP/STOP skills + empathic holding
Acute grief PCT + Worden Listen first, then task framework
Suicidal ideation SAFETY PROTOCOL Crisis hotlines immediately. No framework work.
Emotional flooding DBT Skills + MBSR Distress tolerance + body-based calming

Framework Selection by Intensity Level

Intensity Available Frameworks Rationale
Overwhelming PCT + DBT Skills ONLY Stabilization priority. No analysis.
High MBSR, MBCT, ACT (then others) Acceptance and mindfulness first to create safety
Moderate All 14 frameworks Optimal learning zone; full toolkit available
Mild CBT, REBT, SFBT Analytical and behavioral approaches work well here

Cross-Router Integration Points

When Counsel detects... Route to... Framework
Relationship communication issues howtotalk NVC, Active Listening, SCARF
Workplace structural problems think Systems Thinking
Four Horsemen in relationship howtotalk NVC for "I-message" expression
Organizational burnout think Drucker, BSC