Cognitive Orientation to Occupational Performance (CO-OP)

CO-OP is a performance-based intervention for clients who experience difficulties performing the skills they want to, need to, or are expected to perform.  CO-OP involves collaborative goal setting, dynamic performance analysis, cognitive strategy use, guided discovery and enabling principles.


CO-OP is a therapy that guides individuals to independently discover and develop cognitive strategies to perform the necessary tasks of everyday living such as dressing, grooming, writing, bicycling, swimming, typing, and other daily living skills.

Soccer Practice

Who may benefit from CO-OP?

CO-OP can help..

  • Skill acquisition

  • Development of cognitive strategies

  • Generalization of skills and strategies to everyday life.

  • Transfer of learning to new skills and contexts.


​Research has been conducted with the following populations:

  • Developmental coordination disorder (DCD)

  • Acquired brain injury (ABI)

  • Autism spectrum disorder (ASD)

    • Pervasive developmental disorder (PDD)

    • Asperger’s syndrome

  • Attention deficit hyperactivity disorder (ADHD)

  • Cerebral palsy

  • Developmental disabilities

  • Dyslexia

  • Childhood-onset hyperkinetic movement disorders including dystonia

  • Older healthy adults with cognitive complaints

  • Stroke

  • Traumatic brain injury (TBI)