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Disabling tiredness

We all experience tiredness, but when this becomes debilitating and persistent the effects can be life-changing.

We work with people experiencing fatigue from a variety of causes to improve their motivation, energy and engagement during their day-to-day life and with the world around them.

How OT's help

Fatigue can be the result of illness or accident and can also occur during recovery from surgery. In other cases, fatigue seems to have no obvious cause but can nonetheless lead to problems in day-to-day life and relationships.

Some of the most common areas of difficulty caused by excessive fatigue that we can help you overcome include:

  • Meeting familial responsibilities such as looking after children and maintaining a home
  • Performing job responsibilities
  • Cultivating friendships and social activities
  • Maintaining motivation and concentration
  • Avoiding falls
  • Maintaining mobility, especially if accompanied by acute or chronic pain

Our assessment process allows a specialist occupational therapist to identify all such problems, make recommendations to reduce them and (if desired) arrange for any recommended changes to be made.

Our approach

Our aim is to provide practical and cost-effective solutions to managing your fatigue. Our assessment may involve looking at:

  • Your physical, medical and social history to identify the reason for current levels of fatigue
  • Present and future degrees of mobility, strength, pain and general health
  • The home environment and its influence on your energy level
  • Your daily routine, and that of those you care for or who care for you
  • Your own, your family's or your carer's specific goals and wishes

Common recommendations

Some practical solutions that we may recommend to help you manage your fatigue include:

  • A graded approach to activity
  • Relaxation techniques
  • Recognising warning signs that you need to rest
  • Sleeping routines
  • Daily task planning and management

We can help with

If required we can also provide:

  • A fatigue management programme, involving six weekly sessions with an occupational therapist to provide you with the skills you need to manage your activity and fatigue
  • Training for family and carers on the principles of fatigue management and how best to support you
  • A tailored activity programme to ensure that you pace yourself effectively and incorporate sufficient rest into your routine

Public sector, charities and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you in your own home and at a time convenient to you and your family, and are happy to offer evening and weekend appointments
  • We do not have waiting lists and so can offer appointments within 7 working days of referral or sooner
  • Our extensive nationwide network of registered occupational therapists allows us to find you the right local therapist
  • We can provide ongoing support for as long as you need it
  • Our clear, fixed pricing system will be provided to you in writing for you to consider in your own time
  • Your occupational therapist will be a specialist in their field, with over 5 years' clinical experience including time in social services or NHS practice
  • Our team are well connected to networks of local and national equipment providers, stair lift and building companies

Services for businesses, organisations and the public sector

Case managers

We help your client's achieve optimum independence through assessment, treatment & advice.

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Charities

Working with charities to provide reports and recommendations for grant funding applications.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our client management team, who will be able to understand what your difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we would propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange a visit at your home. Normally this first visit will comprise a full assessment, after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations. These may include useful items you can buy or activities you can do independently, but they may also include more complex recommendations such as home adaptations or additional treatment by the occupational therapist. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

Julie

London - West, Surrey

Julie, an Occupational Therapist, specialises in functional rehabilitation, neurology, complex paediatrics, and handwriting assessments.

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Profession

Occupational Therapy

Regions covered

London, Berkshire, Surrey, London - West

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Sensory integration, Handwriting assessment & treatment

Janet

Birmingham, West Midlands

Working in the West Midlands, OT Janet specialises in Vocational Rehabilitation, Housing, Postural Management; Fatigue, Anxiety and Pain.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Northamptonshire, Oxfordshire, Shropshire, Staffordshire, Warwickshire, Wiltshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Ergonomics

Specialist skills

DFG Assessments, Fatigue management, Pain management, Daily living skills, Postural management, Splinting, Anxiety management & relaxation

Charlotte

Cambridgeshire, East Anglia

Charlotte is an experienced Occupational Therapist specialising in Housing and Equipment, Moving and Handling and Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, Cambridgeshire, Hertfordshire, Norfolk, Suffolk

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills

Alison

Shropshire, West Midlands

Alison, an Occupational Therapist covering the West Midlands and Wales, provides client-centred care, supporting individuals to maximise independence and wellbeing.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Gwynedd, Powys, Wrexham

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Sensory Integration, Train the trainer, Certificate in Education

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, Postural management, School Based Therapy/Support, Wheelchair accreditation

Louise

Dorset, South of England

Specialising in mental health and cognitive impairments, Louise provides expert Occupational Therapy to clients across the South of England.

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Profession

Occupational Therapy

Regions covered

South of England, Dorset, Hampshire, Wiltshire

Specialisms

Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational issues, Routine planning, Daily living skills, Community access, Social integration, Anxiety management & relaxation, Mental Health

Liz

Liverpool, Merseyside

Liz is a therapist specialising in Functional Rehabilitation & Housing and Equipment for pain conditions and more.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Daily living skills, Anxiety management & relaxation, Mental Health

Carlie

Lancashire, North West England

Carlie is an expert OT in neuro and functional rehabilitation based in Lancashire, providing specialist interventions for adults.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Manchester, Salford

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Self care, Social integration, Anxiety management & relaxation, TBI

Laura

Lincolnshire, East Midlands

Laura is a BOBATH-trained Occupational Therapist, offering specialised services across the East Midlands and East Anglia for diverse needs.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Rutland, Leicester

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Community access, Self care, Postural management, Anxiety management & relaxation

Jennifer

Middlesbrough, North Yorkshire

Jennifer provides expert occupational therapy to clients across the North of England, including Durham, Liverpool, Manchester, and Newcastle.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, Cleveland, Cumbria, Durham, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, Lincolnshire, Merseyside, North Yorkshire, South Yorkshire, Tyne and Wear, West Yorkshire, Leeds, Sheffield, Liverpool, Manchester, Sunderland, Newcastle upon Tyne, Hull, Salford, Middlesbrough

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Self care, Social integration, Postural management, Wheelchair accreditation

Tamara

Gloucestershire, West and South West of England

Occupational Therapist Tamara is a specialist in functional rehabilitation, she has worked with a variety of conditions.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Gloucestershire, Bristol, Swindon

Specialisms

Functional rehabilitation

Specialist skills

Motivational issues, Routine planning, Daily living skills, Community access, Planning & execution, Learning disability, Mental Health

Carole

Greater Manchester, North West England

Carole is an experienced Occupational Therapist, supporting clients across North West England with complex needs, home adaptations, and equipment provision.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Balance, Planning & execution, Self care, Postural management, Anxiety management & relaxation

Chandrajeet

London - West, Middlesex

Specialising in Housing & Equipment, Chandrajeet is an experienced OT based in West London.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Hertfordshire, Middlesex, London - Central, London - West

Specialisms

Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care

Christine

East Riding of Yorkshire, Yorkshire and Lincolnshire

Qualifying in 1992, Christine specialises in moving & handling, housing & equipment and neurological & functional rehabilitation for adult clients.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Humberside, North Yorkshire, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Financial management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Stacey

Derby, Derbyshire

Stacey, an Occupational Therapist based in the East Midlands, specifically Derby and Derbyshire, specialises in housing and equipment, and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Nottinghamshire, Nottingham, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Balance, Co-ordination, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Benedicta

Buckinghamshire, West Midlands

Benedicta is a dedicated occupational therapist specialising in Functional Rehab and Housing & Equipment solutions.

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Profession

Occupational Therapy

Regions covered

West Midlands, Bedfordshire, Buckinghamshire, Essex, Herefordshire, Nottinghamshire, Oxfordshire, West Midlands

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

DFG Assessments, Daily living skills

Ellie

Southampton, Hampshire

Ellie is an expert Occupational Therapist specialising in Neurological Rehabilitation and Chronic Fatigue Syndrome covering Hampshire and the South.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management, Anxiety management & relaxation

Katy

Hampshire, South of England

Specialising in Neurological Rehabilitation, Katy is an expert OT based in Fareham in Hampshire.

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Profession

Occupational Therapy

Regions covered

South of England, South East of England, Berkshire, Dorset, East Sussex, Hampshire, Surrey, West Sussex, Bristol, Brighton, Southampton, Bath, Swindon

Specialisms

Neurological rehabilitation

Further qualifications

BOBATH, Therapeutic listening

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Makaton, Wheelchair accreditation

Aaron

Wakefield, Yorkshire and Lincolnshire

Aaron, an Occupational Therapist, specialises in housing and equipment, functional rehab, and moving and handling.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Yorkshire, Leeds, Manchester, Wakefield, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Community access

Wendy

Sheffield, Derbyshire

Wendy provides specialist Occupational Therapy services, focusing on rehabilitation, housing adaptations, seating, postural management, and complex condition management.

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Profession

Occupational Therapy

Regions covered

North West England, Derbyshire, Sheffield, Manchester, Nottingham, Derby

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Community access, Gross motor skills, Postural management, Anxiety management & relaxation

Emma

Wakefield, West Yorkshire

Specialising in rehabilitation, Occupational Therapist Emma provides services across Yorkshire, the Midlands, the North East and North West of England.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Mental Health

Lois

Perthshire and Kinross, Scotland

Based in Scotland, Lois specialises in Functional and Neurological Rehabilitation, providing expert assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Scotland, Angus, Clackmannan, Dundee (City of), Falkirk, Fife, Perthshire and Kinross, Stirling

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills

Heidi

Bristol, West and South West of England

Serving clients across the West and South of England, Heidi is an experienced Occupational Therapist specialising in Functional Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Gloucestershire, Somerset, Wiltshire

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

Miriam

Middlesex, London

Located in Edgeware, Miriam is an expert OT who supports adults of all ages with rehabilitation and housing needs.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Essex, Hertfordshire, Middlesex, London - Central, London - North, London - East, London - West

Specialisms

Housing and Equipment, Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Balance, Co-ordination, Self care, Postural management

Georgia

London

OT Georgia has experience in vocational and functional rehabilitation, as well as expertise in seating and postural management.

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Profession

Occupational Therapy

Regions covered

London, Kent

Specialisms

Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural management, Wheelchair accreditation, Anxiety management & relaxation

William

Devon, West and South West of England

Based just outside of Exeter in Devon, William is an OT specialising in Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon, Somerset

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Fine motor skills, Visual perception, TBI

Jordan

Birmingham, West Midlands

Jordan, a Specialist Occupational Therapist in the West Midlands, provides expert support in housing, equipment, rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham, Wolverhampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills

Jenna

Oxfordshire, South East of England

Operating in the South of England, OT Jenna specialises in hand therapy, functional rehabilitation, moving and handling, and splinting

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Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Specialist skills

Splinting

Louise

Derby, Derbyshire

Based in Derby, Louise provides expert Occupational Therapy helping clients with Housing & Equipment and Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, East Midlands, London, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Shropshire, Staffordshire, West Midlands, Channel Islands, Birmingham, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

Housing and Equipment, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care, Social integration, Postural management, Anxiety management & relaxation

Tina

Plymouth, Devon

Operating in west and south west England (Cornwall, Dorset, Somerset, Devon, Plymouth) Tina specialises in Functional, Neurological and Vocational Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon, Dorset, Somerset, Plymouth

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BIA

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Splinting, Anxiety management & relaxation, TBI

Client feedback

Further reading

Our Experts' Blog

CHARITIES: Mental health and getting back on your feet

In this edition of our Educational Series for charities, we explore how occupational therapy supports people whose mental health challenges affect everyday life and participation. We highlight how OTs work alongside individuals to understand practical barriers and identify realistic ways to promote recovery, independence and engagement in meaningful roles at home and in the community.

Read more

Our Experts' Blog

Achievable Fatigue Management Techniques

Fatigue is something that is part of most of our client’s rehabilitation journeys. OT's work with clients to break down tasks & build strategic rehabilitation programmes whilst managing the need for rest & recuperation allowing clients to realise their goals & stretch their capabilities.

Read more