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Disabling tiredness

Find out how we can help

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

Rachel

Suffolk, East Anglia

Working in East Anglia, Rachel provides expert therapy to clients with a range of needs, helping them to gain independence.

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Profession

Occupational Therapy

Regions covered

East Anglia, Essex, Norfolk, Suffolk

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

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

Julia

London - Central, Middlesex

Trained in advanced Bobath techniques, Julia is an expert physiotherapist who delivers specialist rehabilitation assessments to clients at home.

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Profession

Physiotherapy

Regions covered

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

Specialisms

Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Balance

Caroline

Brighton, West Sussex

Caroline is an expert occupational therapist working with clients with neurological conditions in their own homes in the South East.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, East Sussex, Hampshire, Kent, Surrey, West Sussex, Brighton

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Co-ordination, Self care, Postural managemen, Wheelchair accreditation, Anxiety management & relaxation

Heather

Warwickshire, East Midlands

Located in Northampton, Heather provides specialist neurological assessments to clients in their home environment.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Rutland, Warwickshire

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Visual perception, Planning & execution, Self care, Postural managemen, Splinting

Jessica

Nottingham, West Midlands

Jessica is a highly skilled Occupational Therapist who works with adults. Jessica covers 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 managemen, Wheelchair accreditation

Hannah

Leeds, West Yorkshire

Qualifying in 2010, Hannah specialises in seating & postural management, housing & equipment and rehabilitation for children and adults.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, 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, Sensory integration, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Social integration

Gillian

Southampton, Wiltshire

Gill is an expert Occupational Therapist working across the south of England and London, visiting clients in their own homes.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Dorset, Hampshire, Isle of Wight, Middlesex, Oxfordshire, Surrey, West Sussex, Wiltshire, Southampton

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Self care, Postural managemen

Joanna

Kent, South East of England

Based in Kent, Joanna provides expert occupational therapy helping adult clients with complex, neurological conditions.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Essex, Kent, London - Central, London - North, London - South, London - West

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

Tuesday

North Yorkshire, North East England

Covering the North East and Yorkshire, Tuesday is an Expert Practitioner Occupational Therapist specialising in the field of rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Self care

Suzanne

London - North, Hertfordshire

Based in Essex, Suzanne provides expert Neurological Occupational Therapy across Essex, Hertfordshire and North London to clients in their homes.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Behaviour management, Visual perception, Planning & execution, Self care, Postural managemen

Carolyn

Southampton, Hampshire

Working across Berkshire, Hampshire and London, Carolyn specialises in Neurological and Functional Rehabilitation and is an expert in her field.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, London - South, London - West, Southampton

Specialisms

Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Daily living skills, Behaviour management, Visual perception, Planning & execution, Self care

Anna

Belfast, Tyrone

Based in Northern Ireland, Anna specialises in neurological rehabilitation, housing & equipment and seating & postural management for adults.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Greg

Bristol, Swansea

Based in Wiltshire, Greg specialises in moving & handling, seating & postural management and housing & equipment.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South East of England, Wales, Avon, Berkshire, Bristol, Gloucestershire, Oxfordshire, Somerset, Wiltshire, Cardiff, Newport, Swansea, London - West, Bristol

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Counselling, DFG Assessments, Fatigue management, Pain management, Motivational issues, Daily living skills, Community access, Self care, Postural managemen, Anxiety management & relaxation

Kirsty

Wrexham, North West England

Qualifying in 2001, Kirsty specialises in housing & equipment, moving & handling and rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, West Midlands, 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

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Fatigue management, Daily living skills, Community access, Self care, Social integration

Elizabeth

Cardiff, The Vale of Glamorgan

Liz is an expert neurological rehabilitation specialist working with clients in their own homes across Wales and the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Bristol, Gloucestershire, Herefordshire, Shropshire, West Midlands, Worcestershire, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Powys, Rhondda Cynon Taff, Swansea, Torfaen, The Vale of Glamorgan, Birmingham, Bristol, Cardiff, Coventry, Swansea

Specialisms

Paediatrics, Hand Therapy, Seating and Postural management, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Splinting, Wheelchair accreditation

Pippa

Surrey, South of England

Working in Berkshire and the surrounding areas, Pippa provides expert care to clients in the own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, Surrey

Specialisms

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

Further qualifications

BOBATH, Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Self care

Helen

London - North, Hertfordshire

Helen is an experienced occupational therapist specialising in the field of neurology and covers the London, Buckinghamshire and Hertfordshire areas.

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Profession

Occupational Therapy

Regions covered

London, Bedfordshire, Buckinghamshire, Hertfordshire, London - North

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

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

Kelly

Kent, South East of England

Kelly is a highly regarded Occupational Therapist who works with both children and adults. Kelly covers the Kent area.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

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

Further qualifications

AMPS

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural managemen, Learning disability

Adam

Bristol, Torfaen

Adam is a highly regarded OT specialising in stoke and brain injury, covering South West England and South East Wales.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, Wales, Avon, Bristol, Devon, Dorset, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Blaenau Gwent, Caerphilly, Cardiff, Monmouthshire, Newport, Torfaen, Bristol

Specialisms

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

Specialist skills

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

Moira

West Midlands, West Midlands

Moira provides expert occupational therapy to adult clients, specialising in rehabilitation, seating and moving & handling.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Warwickshire, West Midlands, Coventry

Specialisms

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

Specialist skills

Planning & execution, Self care

Laura

Birmingham, West Midlands

Working across the midlands, Laura is an expert neurological occupational therapist treating clients in their own homes.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Gloucestershire, Leicestershire, Staffordshire, Warwickshire, West Midlands

Specialisms

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

Specialist skills

Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Planning & execution, Splinting

Annie

West Sussex, South East of England

Annie is an expert occupational therapist specialising in neurology working with clients in their own homes in the south east.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Visual perception, Planning & execution, Self care, Wheelchair accreditation

Gaynor

Leicester, Warwickshire

A highly skilled occupational therapist, Gaynor provides expert neurological, vocational and functional rehabilitation to clients in the East Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Wheelchair accreditation, Anxiety management & relaxation

Catherine

Sheffield, West 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

Jacqueline

London - Central, Middlesex

Based in London, Jacqueline provides expert paediatric therapy helping children with handwriting, sensory processing and specialist seating needs.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Hertfordshire, Middlesex, London - Central

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, BOBATH

Lynn

South Lanarkshire, Scotland

Lynn is an expert physiotherapist, delivering specialist assessments to adults and children in their home environment.

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Profession

Physiotherapy

Regions covered

Scotland, East Dunbartonshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Gross motor skills, Balance, Postural managemen, School Based Therapy/Support

Aisling

London - North, Middlesex

Aisling is an expert occupational therapist working in the field of neurological rehabilitation with clients in their own homes.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, DMO (Lycra) Splinting, Splinting, Wheelchair accreditation

Becky

Birmingham, Worcestershire

Having worked internationally, Becky is an expert neurological occupational therapist, delivering specialist assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Herefordshire, Shropshire, West Midlands, Worcestershire, Birmingham, Wolverhampton

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Co-ordination, Self care

Sophie

Oxfordshire, South East of England

Working with adult and elderly clients across Oxfordshire, Sophie is an expert Occupational Therapist specialising in Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

South East of England, Oxfordshire

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Planning & execution, Self care, Postural managemen, Splinting, Anxiety management & relaxation

Alex

London - Central, Middlesex

Based in London, Alex provides expert occupational therapy helping adults with brain injury, neurological disorders and physical disabilities.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - North, London - South, London - East, London - West

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Planning & execution, Self care

Client feedback

Further reading

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

Our Experts' Blog

A professional’s guide to neurological occupational therapy services

This guide has been put together to assist Case Managers understand the services an occupational therapist with a neurology specialism can offer a person with neurological impairments.

Read more