What primary theoretical approach would likely be used by a COTA working with a client in major depression to address occupational performance?

The primary theoretical approach that involves modifying the environment or the occupation to reduce demands is particularly effective when working with a client experiencing major depression. Individuals with this condition often face significant challenges in energy levels, motivation, and the ability to engage in daily activities. By altering the environment or the tasks themselves, a COTA can help to create a more manageable and supportive framework for the client. This might include simplifying tasks, providing adaptive equipment, or creating a more encouraging environment to increase participation and minimize feelings of overwhelm.

This approach directly addresses the occupational performance deficits that may arise due to the debilitating nature of depression. It empowers clients by allowing them to engage in meaningful activities at a level that feels achievable, potentially enhancing their motivation and overall mental health. The focus is on ensuring that the client can successfully participate in the activities that are important to them without the added burden of excessive demands, which can exacerbate their condition.