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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

Tracy

Leeds, West Yorkshire

Specialising in Neurological Rehabilitation, Tracy is an expert OT working across Yorkshire and Lincolnshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Wakefield, Hull

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Learning disability, Mental Health, 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

Charlotte

Lincolnshire, East Midlands

Based in Lincolnshire, Charlotte is an expert Housing and Rehabilitation OT, working with clients across the East Midlands.

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Profession

Occupational Therapy

Regions covered

East Midlands, Cambridgeshire, Lincolnshire, Nottinghamshire

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Daily living skills

Bianca

London - North, Hertfordshire

Based in Hertfordshire, Bianca is a skilled Neurological Rehabilitation Occupational Therapist supporting recovery, independence and meaningful participation following neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Hertfordshire, London - North

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, 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

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

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

Sue

Somerset, West and South West of England

Sue specialises in Housing & Equipment, having developed her expertise in environments across Somerset for the past 20 years.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Devon, Dorset, Somerset, Wiltshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

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

Victoria

Buckinghamshire, East Anglia

Specialising in Neurological and Functional Rehabilitation, Paediatrics, and Housing and Equipment, Victoria provides tailored therapy across East Anglia and Buckinghamshire.

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Profession

Occupational Therapy

Regions covered

Specialisms

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

Further qualifications

CO-OP Practitioner

Specialist skills

Fatigue management, Handwriting assessment & treatment

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

Clare

Swindon, Wiltshire

Specialising in Housing & Equipment, Clare is an OT based in Buckinghamshire delivering assessments for clients across the South East.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South East of England, Gloucestershire, Wiltshire, Swindon

Specialisms

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

Further qualifications

BIA, Train the trainer

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

Natiq

London - East, Essex

Qualifying in 2011, Natiq specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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Profession

Occupational Therapy

Regions covered

London, Essex

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, School Based Therapy/Support, Mental Health

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

Deborah

London - North, Hertfordshire

Deborah is an experienced Occupational Therapist specialising in neurological and functional rehabilitation across London, Hertfordshire and Cambridgeshire.

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Profession

Occupational Therapy

Regions covered

London, Cambridgeshire, London - North

Specialisms

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

Further qualifications

CBT, Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Balance, Planning & execution, Postural management, DMO (Lycra) Splinting, Dysphagia management, Anxiety management & relaxation, Mental Health

Anna

Londonderry, Northern Ireland

Based in Northern Ireland, Anna specialises in Neurological Rehabilitation, Housing & Equipment, and Seating & Postural Management.

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Profession

Occupational Therapy

Regions covered

Northern Ireland, Antrim, Down, Londonderry, Tyrone, Belfast

Specialisms

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

Further qualifications

BOBATH

Specialist skills

TBI

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

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

Chia-Chien

London - South, Surrey

Chia is an occupational therapist fluent in Mandarin who specialises in paediatrics and neurology.

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Profession

Occupational Therapy

Regions covered

London , London - North, London - South, London - West

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, School Based Therapy/Support, Splinting, Sensory attachment intervention, Learning disability, TBI

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

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

Helen

Nottingham, Nottinghamshire

Helen is an expert Hand Therapist, delivering specialist rehabilitation assessments and treatment across Nottinghamshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Staffordshire, West Midlands, Nottingham

Specialisms

Hand Therapy, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

Counselling, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care, Splinting, Anxiety management & relaxation

Karen

Greater Manchester, North West England

Occupational Therapist Karen specialises in Rehabilitation for adults and older adults, focusing on Mental Health, Dementia, and Physical Health Conditions.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester

Specialisms

Functional rehabilitation

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

Joy

Derbyshire, East Midlands

Joy is an expert Occupational Therapist, delivering specialist rehabilitation and seating assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Nottinghamshire, Staffordshire

Specialisms

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

Specialist skills

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

Jessica

London - South, London

Jessica is an experienced Neurological Occupational Therapist, offering expert rehabilitation services across London.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

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

Amy

Devon, West and South West of England

Located in Devon, Amy is an expert OT who provides specialist interventions for clients across the South-West of England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Daily living skills, Gross motor skills, Self care, Postural management, TBI

Corin

Bristol, Somerset

Corin is an experienced occupational therapist with community healthcare experience, specialising in rehabilitation and covering the South West.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Wheelchair accreditation

Katy

Cheshire, North West England

Supporting every stage of childhood, Katy specialises in paediatric Occupational Therapy across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Merseyside

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, School Based Therapy/Support

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