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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

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

Kirsty

Renfrewshire, Scotland

Kirsty is an expert Paediatric OT who supports children with a range of conditions across West Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Glasgow (City of), Glasgow

Specialisms

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

Specialist skills

Counselling

Lucy

Cambridgeshire, East Anglia

Lucy delivers expert Functional Rehabilitation and Housing & Equipment assessments for clients across East Anglia.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Hertfordshire, Norfolk, Northamptonshire, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Seating and Postural management, Functional rehabilitation

Further qualifications

AMPS, Train the trainer

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Behaviour management, Co-ordination, Self care, Social integration

Hannah

Norfolk, East Anglia

Occupational Therapist Hannah specializes in housing and equipment, seating and postural management, functional rehabilitation, moving and handling, and neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

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

Specialist skills

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

Sam

Cheshire, North West England

Working in the North West and West Midlands, Sam is an expert OT specialising in Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Cheshire, Derbyshire, Greater Manchester, Shropshire, Staffordshire, West Midlands, Newport, Manchester, Stoke-on-Trent

Specialisms

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

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Social integration, Splinting, Anxiety management & relaxation, TBI

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

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

Ruth

Kent, South East of England

Ruth is an OT based in Whitstable, Kent, offering comprehensive assessments and rehabilitation for clients with injury and long-term conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent, London - South

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Certificate in Education

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Self care, Social integration

Marie

Liverpool, Merseyside

Based in Merseyside, Marie provides expert neurological occupational therapy and rehabilitation to adults and children at home.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, West Midlands, Wales, Cheshire, Lancashire, Merseyside, Shropshire, Conwy, Flintshire, Isle of Anglesey, Wrexham, Liverpool

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Julia

London

Visiting clients across London, Julia is an experienced OT with expertise in orthopaedic conditions and brain injuries.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

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

Roisin

Southampton, Hampshire

Roisin is an OT that specialises in Paediatrics, Seating, Functional Rehabilitation and Moving & Handling throughout Hampshire, specifically Southampton.

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Profession

Occupational Therapy

Regions covered

South of England, Hampshire, Southampton

Specialisms

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

Further qualifications

Sensory Integration, AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration, Learning disability

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

Jessica

Nottingham, Nottinghamshire

Jessica is a highly skilled Occupational Therapist who works with adults across the East Midlands area.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Stoke-on-Trent, Derby

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, TBI

Jessica

Newcastle upon Tyne, Northumberland

Jess supports children and adults with functional rehabilitation, equipment adaptations, moving and handling, and complex paediatrics clients.

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Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, Postural management, School Based Therapy/Support, Dysphagia management

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

Felice

Buckinghamshire, South East of England

Based in Milton Keynes, Felice supports clients with rehabilitation and home adaptations following an injury or diagnosis.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Buckinghamshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, London - Central, London - North, London - East, London - West, Birmingham, Coventry, Leicester

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care

Catherine

London - South, Kent

Located in London, Catherine is an expert Occupational Therapist who supports adults of all ages with rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

London, Kent, London - South

Specialisms

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

Further qualifications

BIA

Specialist skills

Blue Badges / Mobility Assessments, Community access, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Anxiety management & relaxation

Roxanne

Bath, Avon

Roxanne is a skilled Occupational Therapist, specialising in rehabilitation, adaptations, and paediatrics, supporting diverse needs across South West England.

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Profession

Regions covered

West and South West of England, Avon, Bristol, Somerset, Wiltshire, Bristol, Bath

Specialisms

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

Further qualifications

AMPS

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Co-ordination, Planning & execution, Self care, Social integration, School Based Therapy/Support, Wheelchair accreditation, Learning disability, Mental Health

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

Roz

Edinburgh, Edinburgh (City of)

Occupational Therapist Roz specialises in housing, equipment, postural management, rehabilitation, and moving and handling, providing expert assessments across the Lothians.

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Profession

Occupational Therapy

Regions covered

Scotland, East Lothian, Fife, West Lothian

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Balance, Self care, Postural management, Dysphagia management, Anxiety management & relaxation

Gaynor

Northamptonshire, East Midlands

Gaynor is a highly skilled OT providing expert neurological, vocational, and functional rehabilitation to clients in the East Midlands

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Midlands, East Anglia, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

PIPs, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Social integration, Anxiety management & relaxation, TBI

Marta

Surrey, South East of England

Based in Surrey, Marta is a highly skilled OT who specialises in Neurological Rehabilitation and supports clients across the South-East.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Hampshire, Surrey

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Community access, Fine motor skills, Co-ordination, Self care, Postural management

Gaya

Kent, South East of England

Working across Kent, Gaya provides expert Occupational Therapy to clients in their own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, Wheelchair accreditation, TBI

Michael

Merseyside, North West England

Housing & equipment, and functional rehabilitation OT Michael operates in the North West of England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester, Lancashire, Merseyside, West Midlands, Flintshire, Wrexham

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

Ergonomics

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Routine planning, Gross motor skills, Fine motor skills, Balance, Planning & execution

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

Cheryle

London - South, London

Based in South London, Cheryle is a highly skilled OT who provides expert interventions to adult and elderly clients.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Helena

Manchester, Greater Manchester

Helena, a highly skilled occupational therapist based in the Northwest of England, specifically Manchester, Salford, and Greater Manchester

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester, Salford

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Motivational issues, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation

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

Janet

London - South, Kent

Janet is an expert Occupational Therapist specialising in paediatrics and neurological rehabilitation, she works with children at home and school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent, London - Central, London - South, London - East

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

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

Julie

Cheshire, North West England

Specialising in Functional and Neurological Rehabilitation, Julie is an Occupational Therapist based in Crewe, just south of Liverpool and Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, Shropshire, Staffordshire, West Midlands, Conwy, Isle of Anglesey, Wrexham, Liverpool, Manchester, Stoke-on-Trent, Wolverhampton

Specialisms

Functional rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Planning & execution, Self care, Social integration, 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.

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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