In this episode of OT Conversations, the host emphasizes the declining practice of capacity and cognitive assessments by occupational therapists over the past decade. Highlighting four major reasons, including advocacy for autonomy, expertise in functional and psychological abilities, and cognitive skills, the host argues for the crucial role OTs play in assessing patients' capacities. The session underscores the need for confidence and skill development in this area, cautions against the shift of these responsibilities to social services, and calls for occupational therapists to reclaim and maintain these essential practices to uphold the profession's value. Practical tips for assessing capacity and the importance of a holistic approach are also discussed.