Structural therapy is generally most efficacious in the treatment of structural problems, metabolic therapy for metabolic problems, and energetic therapy for energetic imbalances. Obviously, there can be a good deal of crossover on each of the levels, and that is where a little common sense comes into play. A good rule of thumb is to consider how the problem developed. What I see frequently in my office are individuals attempting to create structural changes with energetic or metabolic techniques, which is not to say that it can't happen, only that it takes significantly longer. Depending upon the type of imbalance being experienced, there is an appropriate therapeutic approach.
Most therapy needs to proceed from the macro level to the micro.
The macro level would be represented by the larger or more predominant issues influencing a person's life, and the micro would be found in the smaller details. An example can be seen in considering the concept of dietary or nutritional therapy. The macro level is the quantity, quality, and composition of the food that is eaten every day. The micro level is the supplementation that a person takes in the form of vitamins, minerals, and herbal preparations. There is no amount of food supplements that can be taken to offset the effects of an imbalanced diet.