Have you ever treated a patient that just didn’t seem to understand how to make their bodies do what they wanted? Even with great effort they could not coordinate their movements, produce the correct amount of force or perform familiar activities fluidly? Ever dealt with frustration when your client does not seem to listen to or understand a single instruction you give? Ever felt like working on balance, strength and coordination just didn’t seem to make the big functional improvement you were hoping for? It’s time to shift gears from instructing how to do things to working collaboratively with clients to help them acquire new skills and develop effective strategies to problem-solve functional deficits they may experience throughout their lives. The Cognitive Orientation to daily Occupational Performance (CO-OP) is a performance-based treatment approach for children and adults who experience difficulties completing the skills they want to, need to or are expected to perform. CO-OP is a specifically tailored, active, client-centered approach that engages the individual at the meta-cognitive level to solve performance problems. Focused on enabling success, the CO-OP Approach employs collaborative goal setting, dynamic performance analysis, cognitive strategy use, guided discovery and enabling principles. The Cognitive Orientation to daily Occupational Performance Approach was developed to provide therapists with an evidence-based approach to enabling performance success in an effective and efficient way. CO-OP is not only supported by a broad research base but is also embedded in an evidence framework (see references.) Originally designed for children with Developmental Co-ordination Disorder, that is children with motor-based performance problems, it has demonstrated efficacy in helping children and adults with a variety of diagnoses acquire skills and experience success in performing everyday activities that are important to them. The goal of the Cognitive Orientation to daily Occupational Performance Approach is to enable individuals with performance difficulties, be they physical, cognitive, or other, to succeed in performing the everyday tasks and activities that are important to them. CO-OP uses a process of guided discovery to enable the identification of the specific strategies that will support performance success. In CO-OP individuals learn how to talk themselves through performance problems.