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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

Lucy

London - South, London

Based in London, Lucy is an Occupational Therapist with over 15 years of experience specialising in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, TBI

Judy

Newcastle upon Tyne, Cumbria

Based in Carlisle, Judy delivers neurological rehabilitation and Occupational Therapy to promote independence and everyday function.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Cumbria, Lancashire, Tyne and Wear, Sunderland, Newcastle upon Tyne

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Mental Health

Rosie

Lincolnshire, Yorkshire and Lincolnshire

Rosie is a Specialist Paediatric Occupational Therapist and Sensory Integration Practitioner offering services across the East Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration, Sensory Attachment Therapy

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, Planning & execution, School Based Therapy/Support, Sensory attachment intervention, Learning disability, Mental Health

Kerri

Antrim, Northern Ireland

Kerri, an Occupational Therapist, specializes in housing and equipment, and wheelchair accreditation. Her professional dedication extends to various regions,

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Profession

Occupational Therapy

Regions covered

North West England, West and South West of England, South of England, Scotland, Ireland, Wales , Glasgow, Liverpool, Bristol, Sunderland, Belfast, Newcastle upon Tyne, Brighton, Stoke-on-Trent

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

Wheelchair accreditation

Hayley

Norfolk, East Anglia

Hayley is an experienced OT who delivers expert Functional Rehabilitation to clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Planning & execution, Self care, Postural management, Anxiety management & relaxation

Sarah

Nottingham, Nottinghamshire

Based in Nottingham, Sarah is an expert OT focusing on Neurological Rehabilitation for adults with progressive conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, Nottingham, Derby

Specialisms

Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, Splinting, Wheelchair accreditation, Anxiety management & relaxation, TBI

Shona

Dumfries and Galloway, Scotland

Shona is an experienced Occupational Therapist specialising in housing, equipment, moving and handling and functional rehabilitation across South Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Dumfries and Galloway, East Ayrshire, North Ayrshire, South Ayrshire, South Lanarkshire, Glasgow

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Self care

Kate Louise

Newcastle upon Tyne, Tyne and Wear

Katie is located in Newcastle and provides expert assessments and treatment plans to clients across the North of England.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Cumbria, Durham, Northumberland, Tyne and Wear

Specialisms

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

Specialist skills

DFG Assessments, Postural management, TBI

Lindsey

Ceredigion, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing holistic assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Anxiety management & relaxation

Alexis

Norfolk, East Anglia

Alexis provides Occupational Therapy services in Rehabilitation, Housing and Equipment, Moving and Handling, Paediatrics, and Neurological Rehabilitation across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Cambridgeshire, Lincolnshire, Norfolk, Suffolk

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, TBI

Roseanne

Down, Northern Ireland

Roseanne, an Occupational Therapist, specializes in neurological and vocational rehabilitation, with expertise in sensory integration.

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Profession

Occupational Therapy

Regions covered

South East of England, Northern Ireland, Ireland, Kent, Antrim, Armagh, Down, Belfast

Specialisms

Vocational Rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, AMPS, Sensory Attachment Therapy

Specialist skills

Motivational issues, Routine planning, Daily living skills, Sensory integration, Self care, Social integration, Mental Health

Helen

Swindon, Oxfordshire

Helen is passionate about helping children succeed through expert paediatric Occupational Therapy across Oxfordshire and the South East.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Gloucestershire, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Community access, Sensory integration, Gross motor skills, Behaviour management, Handwriting assessment & treatment, Anxiety management & relaxation, Sensory attachment intervention, Learning disability, Mental Health

Janette

Liverpool, Cheshire

Janette, a specialist Hand Therapist, provides expert assessment, treatment, and rehabilitation for upper limb conditions across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Wales , Liverpool, Stoke-on-Trent

Specialisms

Hand Therapy, Functional rehabilitation

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Splinting, Anxiety management & relaxation

Elena

Cardiff, Cardiff

Based in Cardiff, Elena helps children develop confidence, independence and everyday skills through Occupational Therapy.

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Profession

Occupational Therapy

Regions covered

Wales, Bridgend, Cardiff

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Further qualifications

CO-OP Practitioner

Specialist skills

Daily living skills, Fine motor skills, Self care, Postural management, School Based Therapy/Support, Learning disability

Bethany

Staffordshire, East Midlands

Covering a large client base across the Midlands, Bethany is an expert OT who supports with rehabilitation and equipment provisions.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, East Midlands , Birmingham, Nottingham, Leicester, Derby

Specialisms

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

Lynne

Middlesbrough, Durham

Lynn, an Occupational Therapist, specialises in seating and postural management and works in the North of England.

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Profession

Occupational Therapy

Regions covered

North East England, Durham, North Yorkshire, Tyne and Wear, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

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

Further qualifications

Sensory Integration, AMPS, CBT, Train the trainer

Specialist skills

Daily living skills, Community access, Postural management, Learning disability, Mental Health

Donna

Lancashire, North West England

Donna supports adults and older people across North West England, specialising in functional rehabilitation, housing, equipment and postural management.

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Profession

Occupational Therapy

Regions covered

North West England, Lancashire

Specialisms

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

Louisa

Plymouth, Devon

Louisa is an Occupational Therapist specializing in housing and equipment, seating and postural management, functional rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon

Specialisms

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

Amy

Lancashire, North West England

Amy is a Paediatric Occupational Therapist and Sensory Integration Practitioner supporting neurodiverse children across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cumbria, Greater Manchester, Lancashire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Learning disability

Alison

Birmingham, Warwickshire

Alison is an experienced OT based in Warwickshire. She supports clients of all ages with progressive neurological and life-limiting conditions.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Gloucestershire, Herefordshire, Leicestershire, Oxfordshire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Bristol, Coventry, Wolverhampton

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Angela

Glasgow, Glasgow (City of)

Working throughout London, Occupational Therapist Angela provides Neurological Rehabilitation and enjoys helping those who have experienced a Stroke.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Counselling, Fatigue management, Routine planning, Daily living skills, Community access, Visual perception, Co-ordination, Postural management

Kirsty

Liverpool, Cheshire

Based in Chester, Kirsty is an experienced OT specialising in Housing & Equipment and Moving & Handling interventions.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Cumbria, Greater Manchester, Lancashire, Merseyside, Shropshire, South Yorkshire, Staffordshire, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Powys, Wrexham, Liverpool, Manchester, Hull, Stoke-on-Trent, Salford

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Community access, Self care, Social integration, Postural management, Learning disability

Catherine

Sheffield, South Yorkshire

Working across Yorkshire and the East Midlands, Catherine is an expert OT working with clients with Vocational Rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, East Midlands, Derbyshire, East Riding of Yorkshire, Greater Manchester, Lancashire, Leicestershire, Lincolnshire, Nottinghamshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational interviewing, Fatigue management, Daily living skills

Sharon

Nottingham, East Midlands

Helping clients regain independence after falls, illness or limb loss, Sharon specialises in rehabilitation, specialist seating and functional Occupational Therapy.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Midlands, Derbyshire, Lincolnshire, Nottinghamshire, South Yorkshire, Sheffield, Nottingham, Derby

Specialisms

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

Specialist skills

Daily living skills, Postural management

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

Georgina

Somerset, West and South West of England

Georgina, an Occupational Therapist, specialises in functional rehabilitation, moving and handling, blue badges/mobility assessment, and fatigue management.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Avon, Bristol, Devon, Dorset, Somerset, Wiltshire, Bristol, Bath, Swindon

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Planning & execution

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management, TBI

Natalie

Kent, South East of England

Natalie is an experienced Occupational Therapist helping adults maintain independence through specialist equipment, adaptations, reablement and safe moving and handling.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Kent, Surrey, West Sussex

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments

Lara

Hertfordshire, London

Occupational Therapist Lara provides Neurological and Vocational Rehabilitation to clients in both Hertfordshire and London.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Essex, Hertfordshire, London - Central, London - North

Specialisms

Vocational Rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, TBI

Hugh

Berkshire, South of England

Qualifying in 1988, Hugh specialises in housing, equipment and community rehabilitation for adults with complex physical disabilities and long-term conditions.

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Profession

Occupational Therapy

Regions covered

London, South of England, Berkshire, Oxfordshire, London - Central, London - West

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Therapeutic listening

Specialist skills

DFG Assessments, Daily living skills

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.

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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