A living, learning or working environment. -a therapeutic milieu refers to a broad conceptual approach in which all aspects of the environment are channeled to provide a therapeutic environment for the client. the six environmental elements include structure, safety, norms, limit setting, balance and unit modification. a. behavioral approach in psychiatric care is based on the premise that behavior can be learned or unlearned through the use of reward and punishment. b. cognitive approach to change behavior is done by correcting distorted perceptions and irrational beliefs to correct maladaptive behaviors. d. this is not congruent with therapeutic milieu.