Subconscious Restructuring™ (SR)

Cognitive Behavioral Therapy (CBT) 

SR™ Approach

CBT Approach

  1. SR™ is a program process NOT psychotherapy
  2. Personal history is not needed nor desired. The personal history of a client can actually impede measurable progress.
  3. Measurable outcomes based on the primary emotional drivers of human behavior are produced at every session.
  4. Burris Institute has defined normal which establishes a clear objective for the client.
  5. Gut health is measured in the first session and as needed thereafter. 
  1. CBT is a combination of psychotherapy and behavioral therapy
  2. Rooted in psychoanalysis personal history is a mandatory part of CBT
  3. There are no measurable outcomes in CBT based on the primary emotional drivers of human behavior.
  4. No Definition for normal.
  5. Gut health is not measured or considered. 

Focus of SR™

Focus of CBT

The Primary Focus of Subconscious Restructuring™ is to put the client in charge of processes that control their thought, emotion, and behavior via restructuring of the subconscious. This is done by teaching the client how thought, emotion, and behavior work and then how to interrupt, restructure and reprogram any thought and emotion which may be driving behavior that does not work.   

A secondary focus of Subconscious Restructuring™ is gut health. If the numbers do not come down on the Emotional Fitness Checklist, it can indicate an issue with gut health. 

Cognitive therapy is based on the theory that much of how we feel is determined by what we think. Disorders, such as depression, are believed to be the result of faulty thoughts and beliefs. By correcting these inaccurate beliefs, the person’s perception of events and emotional state improves. This could be considered similar to Subconscious Restructuring™ except we do not need nor want personal history to determine faulty thoughts. Instead, we address the subconscious mechanism that brings about thoughts that do not work and then interrupt, restructure and reprogram this process before it begins. 

Cognitive behavioral therapy can be thought of as a combination of psychotherapy and behavioral therapy. Psychotherapy emphasizes the importance of the personal meaning we place on things and how thinking patterns begin in childhood. Behavioral therapy pays close attention to the relationship between our problems, our behavior, and our thoughts. 

Gut health is not considered. 

Outcomes: What SR™ Measures

Outcomes: What CBT Measures 

Everything we do as human beings are emotionally driven. This is why the primary instrument for SR™ is a three instrument 22-point Emotional Fitness™ Checklist. We have found that Fear, Guilt, and Anger are the most debilitating of all human emotions so we begin with addressing these emotions first.

The two other instruments used for measuring and monitoring a client are a Behavior Control Checklist which ensures the client understood the process and enables them to grade their CBC and a Relationship Satisfaction Scale.

CBT primarily uses observational subjective evaluation to assess a client's progress. Recently there has been more pressure put on the behavioral health community to show what they are doing is working. This has prompted the use of an outcome questioner which may indicate CBT is working. There is still no standard because it is difficult to establish one without first clearly answering several key questions.

Why Subconscious Restructuring™ Measures it 

Why CBT Measures it 

Depression: Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.(3) Antidepressants are the most commonly prescribed class of medications in the United States with over 27 million affected over the age of six.(4)

Anxiety: Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.(5) Anxiety disorders frequently co-occur with depressive disorders or substance abuse.(5) Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.(6)

Negative Self Talk: Depressed groups endorse significantly more negative self-talk and evidenced a significantly less frequent occurrence of positive self-talk.(7) The first component the subconscious uses to bring about an emotional state and behavior is internal dialogue and this is the first process to be interrupted, restructured, and reprogrammed with the SR® process.

Anger: Anger and hostility are linked to coronary heart disease in both healthy and CHD populations.(8)

Sleep: A chronic sleep-restricted state can cause fatigue, daytime sleepiness, clumsiness, and weight loss or weight gain.(9) Sleep deprivation adversely affects the brain and cognitive function.(10) Eating Behavior: Physiological changes as a result of disordered eating can affect psychology(11) and in turn, the psychology which brings about disordered eating affects physiology.(12)

Suicidal Ideation: Suicidal ideation has been linked to hopelessness(13) and anxiety(14) both of which are measured in the Emotional Checklist and numbers which are monitored. Question 12 is a straightforward indicator of suicidal ideation and many times closely correlates with question 1 (anxiety) and question 5 (hopelessness). The risk of suicide attempts among the PTSD population is six times greater than in the general population.(15)

CBT continues to use observational subjective evaluation as its primary instrument of measurement. This form of measurement can be useful but without measuring the emotional state of the client leaves the door of speculation wide open as far as who or what is to blame if the therapy did not work. This makes every session in CBT an exercise in experimental observational subjective evaluation.

How SR™Outcomes Are Generated  

How CBT Outcomes Are Generated  

SRprotocol requires all outcome data is generated by the client from our three instrument Emotional Fitness™ Checklist. 

The CBT practitioner generates notes and asks the client how they feel.



Risks when using SRare kept to an absolute minimum by using a process that requires data collection that addresses the most significant emotional drivers of the client's behavior. This enables the FEF practitioner to monitor the emotional state of the client at every session without personal history, labels, or stigma.

With 26 years of data collection, the efficacy of SR™ has not been matched by any other modality.

No matter how good the intentions, using any psychoanalytic modality which is based on personal history and does not effectively address or measure the emotional drivers of behavior represents a significant risk. The biggest risk of not effectively addressing or measuring the emotional drivers of behavior may force the practitioner to resort to dangerous pharmaceuticals but there is a long list of other risks associated with analyzing personal history.

SR™ Treatment Timeline 

 CBT Treatment Timeline  

It can take as little as four hours to reduce depression symptoms with SR™. This is evidenced by consistent outcomes since the introduction of FEF into psychiatric care in 1990.

With over 30 years of research, development, and refinement behind SR™, we are able to make a reasonable estimate of the timeline for all demographics. There are several variables that are included as part of this equation.

Because CBT is based on the analysis of personal history an estimated timeline of treatment is virtually impossible.

Medication is often used in conjunction with CBT and it can take up to six years to find the right combination of medication and CBT to suppress depression symptoms. 


1. Much-Hyped Brain-Implant Treatment for Depression Suffers Setback
2. Depression: The Disorder and the Burden.
3. What is Depression?: Diagnosis
4. Antidepressant Use in Persons Aged 12 and Over: United States, 2005–2008
5.Anxiety: Who is at Risk.
6. Dysfunctional self-talk associated with eating disorder severity and symptomatology
7. Measuring Negative and Positive Thoughts in Children: An Adaptation of the Children’s Automatic Thoughts Scale (CATS)
8. The association of anger and hostility with future coronary heart disease: a meta-analytic review of prospective evidence.
9. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index.
10. Sleep deprivation: Impact on cognitive performance.
11. Psychophysiological responses to food exposure: an experimental study in binge eaters.
12. Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients.
13. Suicide in war veterans: the role of comorbidity of PTSD and depression