Interactive reasoning helps the practitioner get to know clients and build a relationship with them and their caregivers in order to form a therapeutic alliance and help the client succeed in therapy. Interactive reasoning explores the best approach to communicate with and engage the client in occupational therapy. This method helps individualize therapy based on the client's situation and builds trust and respect with the client. Learning to implement this type of clinical reasoning will help the student recognize the needs and dispositions of the client and modify their approach to meet those needs (Lyons, 2001). Procedural reasoning involves thinking about a client's disability or illness and deciding what procedures to implement to combat the diagnosis (Fleming, 1991). Procedural reasoning is primarily used by occupational therapists when conducting assessments and developing therapeutic interventions. However, the occupational therapy assistant implements the therapeutic intervention and works toward the goals that the occupational therapist has set. It is important for students to understand where their role lies in procedural reasoning (Lyons, 2001). Pragmatic reasoning takes into account the environment, such as the amount of space and equipment available to carry out therapeutic activities, time constraints, organizational structure.,