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Clinician — reference

Tools › The Training Stack

The Training Stack

A therapist's stack is the set of modalities they can actually run, each at a stated proficiency depth. Derived from the model: portfolio by floor coverage, not modality count; ACT as primary depth (congruence with the model, the gatekeeper floor, the psilocybin frame); one thing compiles at a time. The lever each modality pulls is mapped in How the Major Modalities Recalibrate Priors; what I take from each unit collects in modality-notes/.

The four tiers

  • Master — the identity; the thousand deliberate-practice hours. One modality only.
  • Fluent — working command; the daily drivers used in every case.
  • Deep — a second certification, added post-licensure, one choice.
  • Literacy — concepts used, moves borrowed deliberately, referrals made wisely, exams passed. Most of the catalog lives here, on purpose. In the worked table this tier is written two ways — "Working literacy" (concepts used daily) and "Conversant" (formulate and refer well) — but those are shades of one tier, not two; the app stores one value.

An example stack

The table below is one clinician's stack, kept as a worked example. The app renders the tiers, the reading rules, and the floor coverage; the rows are the user's own.

Modality Proficiency target Floors / lever (the model) Role in the practice When How
ACT Master — the identity, the thousand hours 2, 5 (+1 via values) — defusion, acceptance, committed action Primary modality; the gatekeeper floor's specialist; the psilocybin frame Now → licensure ACBS workshops, manuals, peer consult, supervised cases
CBT (incl. behavior therapy) Fluent — working command 3, 5 — content + prediction-error experiments, exposure/RP The lingua franca; the cheap floor-3 lever; the furnace's counter-moves Now — program core Coursework, practicum, NCE prep
Person-Centered Fluent The dimmer — conditions, presence The common-factors spine; nothing writes while it's off Now — first practicum Reps, recordings, supervision
Motivational Interviewing Fluent The dimmer + self-generated discrepancy Ambivalence work; compromise-formation terrain (Part 6.3) Now — program core MI coursework + practice
Psychodynamic / IPT / attachment Working literacy — concepts used daily, method not practiced solo 4, 6 — transference as assessment, relational prediction error The floor-4 instrument; informs supervision + own therapy Throughout; deepens with career Own therapy, psychodynamic-informed supervision, reading
EFT / EMDR / somatic (one, chosen later) Deep — second certification 6, 7 — activation + mismatch, regulation The concrete-floor lever; the stuck cases Post-licensure, years 1–3 Formal certification + consultation
Existential / logotherapy Working literacy 1 + the gate's other verdict — meaning-frame, stance The therapy of uncorrectable truths; the psilocybin wing's philosophy Reading now (Yalom, Frankl) Reading, electives, the modality notes
Narrative / SFBT Working literacy 1, 2 — filter-fight, re-authoring, exceptions Floor-1 moves borrowed inside other work Program unit + reading Coursework; techniques borrowed deliberately
Multicultural / feminist / liberation Working literacy, never finished 8 — name the substrate, check the field The waters; Part 7's boundary discipline Program core + always Coursework, supervision across difference
Family systems Conversant — formulate, refer well 4 at system scale — the distributed furnace Recognizing system-maintained priors I shouldn't treat solo Program unit Coursework; referral judgment
Gestalt Conversant (unless chosen at the Deep row) 6, 2 — enactment, live awareness Ancestor of the experiential lever; empty-chair literacy Program unit Coursework
Adlerian / Reality-Choice / REBT Conversant — exam and lineage knowledge 1, 3, 5 — early forms of the same levers The canon; each formalizes one lever the crosswalk maps Program units Coursework, the crosswalk note
DBT (skills layer) Working literacy 7, 5 — regulation, distress tolerance = deadband training Skills borrowed for floor-7 stabilization before deep work Practicum exposure Skills manuals, site training

Underneath the modality rows, three brandless layers run the whole stack and belong to no course: the gates (risk, diagnostics, ethics, scope — Part 7, drilled until automatic), the dimmer as a skill of the person (what Person-Centered and MI train, but carried into every hour), and the formulation lens — the model itself, choosing which modality's lever each client actually needs. Dial picks the room; floor picks the tool; the lens picks the row.

Reading rules

  1. One Master, three Fluents — that carries the degree. ACT gets the identity and the hours; CBT, Person-Centered, and MI get real command because every case uses them.
  2. Each literacy-tier unit gets one question walking in: this one gets literacy — what is the one lever I'm taking from it? The crosswalk names the lever; the modality note collects it.
  3. The Deep row waits. One experiential certification, chosen after licensure, one at a time — acquiring certifications in parallel is the jack-of-all-trades error wearing a to-do list.