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Recent theoretical and practical applications of drama therapy have incorporated cognitive models. This paper furthers this integration by presenting a specific drama-based therapeutic approach, developmental transformations, within a broader cognitive landscape. In proposing a cognitive model of developmental transformations (DvT) links to allied professions are established and clinical case conceptualizations are broadened with relevance to a larger mental health audience. An overview of DvT is provided followed by a rationale for a cognitive approach. Distinct elements of DvT practice are then broken down and elucidated within a cognitive framework. Questions posed and addressed include: What occurs cognitively when we encounter another person? What cognitive factors aid in maintaining an imaginary/dramatic reality? What cognitive processes facilitate transformation from one dramatic role to …