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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

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

Paula

Warwickshire, West Midlands

Paula is an expert Occupational Therapist, delivering specialist Functional, Neurological, and Vocational Rehabilitation to clients the Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, South East of England, Buckinghamshire, Leicestershire, Northamptonshire, Oxfordshire, Warwickshire, West Midlands

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, TBI

Leila

West Sussex, South East of England

Leila, an OT focusing on housing and equipment, functional rehabilitation, and moving and handling, brings her expertise to London.

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Profession

Occupational Therapy

Regions covered

London, South East of England, East Sussex, Essex, Hampshire, Kent, Surrey, West Sussex, London - South, Brighton, Southampton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Self care, Wheelchair accreditation

Mia

Sheffield, South Yorkshire

Mia is an experienced Occupational Therapist specialising in neurological rehabilitation, seating, equipment and functional rehabilitation across Yorkshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire

Specialisms

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

Specialist skills

PIPs, Fatigue management, Daily living skills, Fine motor skills, Self care, Postural management, Wheelchair accreditation

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

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

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

Joanna

Leicester, Northamptonshire

Joanna is an experienced Occupational Therapist specialising in functional rehabilitation, postural management, moving and handling and complex equipment provision.

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Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Leicester

Specialisms

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

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

Lisa

London - South, Kent

Lisa is an expert Housing and Equipment Occupational Therapist, delivering specialist assessments to clients in London and Kent.

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Profession

Occupational Therapy

Regions covered

London, Kent, London - Central, London - South

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

BIA

Specialist skills

DFG Assessments, Daily living skills

Amy

Birmingham, West Midlands

Birmingham-based Occupational Therapist Amy specialises in manual and powered wheelchairs, complex seating assessments and 24-hour posture management.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Seating and Postural management, Functional rehabilitation

Specialist skills

Postural management, Wheelchair accreditation, Learning disability, Mental Health

Rachael

Bedfordshire, East Anglia

Based in Bedfordshire, Rachael is a specialist OT providing housing and rehabilitation assessments to clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Norfolk, Suffolk, London - North

Specialisms

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

Further qualifications

BOBATH, BIA

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

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

Lise

Kent, South East of England

Lise is a Neurological Occupational Therapist specialising in rehabilitation, seating and postural management, moving and handling, and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Essex, Kent, Surrey, London - North, London - South, London - East, London - West

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Postural management, Anxiety management & relaxation, TBI

Celine

East Sussex, South East of England

Celine specialises in functional and vocational rehabilitation, helping adults regain independence through expert Occupational Therapy across the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex

Specialisms

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

Joanne

Newcastle upon Tyne, Northumberland

Working with adults, Joanne offers specialised Occupational Therapy services focusing on neurological rehabilitation, housing adaptations, functional rehabilitation, and equipment provision.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Cumbria, Durham, North Yorkshire, Northumberland, Tyne and Wear, Borders, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh, Sunderland, Newcastle upon Tyne, Middlesbrough

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Anxiety management & relaxation, TBI

Val

Cornwall, West and South West of England

Val is an accredited Best Interests Assessor, delivering specialist assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, West and South West of England, Bristol, Cornwall, Devon, Isles of Scilly, Bristol, Plymouth, Salford

Specialisms

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

Further qualifications

AMPS, BIA, Therapeutic listening

Specialist skills

Counselling, DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access

Liz

Argyll and Bute, Scotland

Covering a large client base across Scotland, Liz is an OT delivering specialist Neurological Rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Aberdeen City, Aberdeenshire, Angus, Argyll and Bute, Borders, Clackmannan, Dumfries and Galloway, Dundee (City of), East Ayrshire, East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Inverclyde, Midlothian, Moray, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Dunbartonshire, West Lothian, Western Isles

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Kate

Kent, London

Kate specialises in neurological rehabilitation, helping adults maximise independence through expert Occupational Therapy across London and the South East.

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Profession

Occupational Therapy

Regions covered

London, Kent

Specialisms

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

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, TBI

Paul

Norfolk, East Anglia

Paul provides specialist Occupational Therapy across Norfolk, with expertise in hand therapy, splinting and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Further qualifications

CBT

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Daily living skills, Fine motor skills, Self care, Splinting, Anxiety management & relaxation

Paige

Essex, East Anglia

Paige is an experienced Occupational Therapist specialising in Neurorehabilitation across East Anglia, supporting adults with complex neurological conditions.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Functional rehabilitation, Neurological rehabilitation

Alistair

Pembrokeshire, Wales

Alistair, an accomplished Occupational Therapist residing in Pembrokeshire, Wales who specialises in in Functional and Neurological rehabilitation, and housing adaptions.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, South of England, South East of England, Scotland, Ireland, Wales, Avon, Berkshire, Bristol, Buckinghamshire, Cheshire, Cumbria, Derbyshire, Dorset, Gloucestershire, Greater Manchester, Herefordshire, Kent, Aberdeen City, Aberdeenshire, Borders, Orkney, Shetland, South Lanarkshire, Bridgend, Cardiff, Merthyr Tydfil, Neath Port Talbot, Newport, Pembrokeshire, Powys, Rhondda Cynon Taff, Swansea, Wrexham

Specialisms

Functional rehabilitation, Neurological rehabilitation

Kate

Brighton, West Sussex

Kate is an experienced Occupational Therapist specialising in rehabilitation, housing adaptations, and equipment provision across Southern England.

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Profession

Occupational Therapy

Regions covered

South of England, East Sussex, Hampshire, West Sussex, Brighton

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Postural management

Claire

Newport, Wales

OT Claire delivers Seating & Postural Management, Functional Rehabilitation, and Moving & Handling services in Wales (Cardiff, Monmouthshire) and Bristol.

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Profession

Occupational Therapy

Regions covered

Wales, Bristol, Gloucestershire, Herefordshire, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Cardiff

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Self care, Postural management

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

Bethany

Manchester, Greater Manchester

Bethany is an experienced Occupational Therapist specialising in Sensory Integration, Mental Health, Neurodiversity and Paediatrics across North West England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Sensory integration, Mental Health

Kathleen

Liverpool, Flintshire

Qualifying in 1988, Kathleen is an experienced Occupational Therapist working with adults and children across Wales and North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Wrexham

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Gross motor skills, Self care

Aimee

Cambridgeshire, East Anglia

Experienced Occupational Therapist Aimee supports adults with neurological conditions through specialist rehabilitation, cognitive therapy and functional recovery.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, South East of England, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Leicestershire, Lincolnshire, Norfolk, Northamptonshire, Oxfordshire, Rutland

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Splinting, TBI

Thelma

London - North, Cambridgeshire

Thelma provides expert Occupational Therapy services addressing diverse physical and mental health conditions across North East England.

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Profession

Occupational Therapy

Regions covered

North East England, Bedfordshire, Cambridgeshire, Lincolnshire, Northamptonshire, London - North, London - East, Edinburgh, Leicester

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Mental Health

Melanie

Cardiff, Newport

Mel is an experienced Occupational Therapist specialising in functional rehabilitation, supporting adults across Wales and South West England.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Bristol, Gloucestershire, Herefordshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Self care, Postural management, Anxiety management & relaxation, Mental Health

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