There is motivation that comes from within and motivation generated from external rewards. Working for money is an example of external motivation. Volunteering is an example of internal motivation. We all are motivated in a variety of ways. When working with a young adult with a learning disability motivation is often a primary issue. After years of failure, motivation can often be lacking. Until motivation is uncovered, progress is limited. Often in addition to creating an environment of success, external motivators can also help rewards verbal or material can improve motivation. Creating an environment of success is part of the foundation of a therapeutic relationship.