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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

Victoria

Bedfordshire, East Anglia

Based in Bedfordshire, Victoria is an expert neurological occupational therapist having completed a postgraduate diploma in Neuro-Rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Northamptonshire, Oxfordshire, London - Central, London - North, London - East, London - West

Specialisms

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

Further qualifications

Train the trainer

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

Karen

Edinburgh, Stirling

Working across Scotland, Karen carries out expert assessment and treatment of clients, providing advice on housing adaptations and rehabilitation.

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Profession

Occupational Therapy

Regions covered

Scotland, Angus, Clackmannan, Dundee (City of), East Lothian, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, North Lanarkshire, Perthshire and Kinross, Stirling, Edinburgh

Specialisms

Housing and Equipment, Moving and Handling, Neurological rehabilitation

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Self care, Anxiety management & relaxation

Pip

Nottinghamshire, East Midlands

Pip provides expert care to adults in the East Midlands, helping them to live as independently and fully as possible.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, Nottingham

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Routine planning, Daily living skills, Community access, Self care, Wheelchair accreditation

Charisse

London - East, Essex

Qualifying in 2012 Charisse is an expert occupational therapist working with clients in London and Essex in their own homes.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation

Kate Louise

Newcastle upon Tyne, Tyne and Wear

Working in the North of England, Kate provides expert assessments and treatment plans to clients to help them gain independence.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Postural managemen

Suzi

Plymouth, Somerset

Based in Plymouth, Suzi provides occupational therapy to adults and children in their home environment. She specialises in rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Daily living skills, Self care, Postural managemen, Wheelchair accreditation

Meera

Hertfordshire, London

An expert in rehabilitation, moving & handling and housing & equipment, Meera visits clients in their home environment.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Berkshire, Buckinghamshire, Hampshire, Hertfordshire, London - Central, London - North, London - West

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, Daily living skills, Self care, Postural managemen

Charlotte

Wiltshire, South of England

Based in Hampshire, Charlotte is an expert housing and rehabilitation OT, working with clients across the south of England.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Dorset, East Sussex, Hampshire, Surrey, Wiltshire

Specialisms

Housing and Equipment, Neurological rehabilitation

Specialist skills

DFG Assessments, Daily living skills

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

Lucy

London - North, Surrey

Lucy is experienced at providing specialist occupational therapy assessment and intervention to clients with a range of neurological diagnoses.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Buckinghamshire, Hertfordshire, Middlesex, Surrey, London - Central, London - North, London - West

Specialisms

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

Specialist skills

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

Karen

London - East, Surrey

Located in Essex and working across London & the South East, Karen delivers specialist assessments and treatment to her clients.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, Kent, Surrey, London - Central, London - North, London - South, London - East, London - West

Specialisms

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

Specialist skills

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

Kelly

Kent, South East of England

Kelly is a Kent based Occupational Therapist working with adult and elderly clients in their own homes across the south-east.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

BOBATH

Specialist skills

Daily living skills, Self care

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Fatigue management, Routine planning, Daily living skills, Fine motor skills, Planning & execution, Self care, Postural managemen

Carien

Dumfries and Galloway, Scotland

Based in Scotland, Carien provides expert paediatric therapy helping children with handwriting, sensory and complex physical needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Borders, Dumfries and Galloway, East Ayrshire, East Lothian, East Renfrewshire, Edinburgh (City of), Fife, Glasgow (City of), Midlothian, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, West Lothian, Glasgow, Edinburgh

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Social integration

Lena

Belfast, Tyrone

Lena is an expert Occupational Therapist in the areas of Neurology and brain injuries, working with clients across Northern Ireland.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Planning & execution, Self care, Social integration, Postural managemen, Anxiety management & relaxation

Jacquie

London - North, Hertfordshire

Jacquie works with clients in their own homes across the south, she specialises in rehabilitation in stoke and brain injury.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Bedfordshire, Essex, Hertfordshire, London - Central, 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, Gross motor skills, Fine motor skills, Visual perception, Planning & execution, Self care, Social integration, Postural managemen, Splinting

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

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

Alice

Cumbria, North West England

Alice is an expert occupational therapist working with clients in their own homes across north west England.

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Profession

Occupational Therapy

Regions covered

North West England, Cumbria, Lancashire, North Yorkshire, Dumfries and Galloway

Specialisms

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

Specialist skills

Community access, Anxiety management & relaxation

Carlie

Merseyside, North West England

Having worked in Australia, New Zealand and the UK, Carlie provides expert occupational therapy to adult clients.

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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

Gaya

London - South, London

Working across London, Gaya provides expert occupational therapy to clients in their own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

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

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 managemen, Splinting, Wheelchair accreditation

Yogita

London - West, Buckinghamshire

Based in Berkshire, Yogita specialises in rehabilitation and moving & handling, working with clients in their own homes.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Buckinghamshire, London - West

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Self care, Splinting

Eve

Sheffield, South Yorkshire

Eve is a highly experienced Occupational Therapist working with children in the Yorkshire, Lincolnshire and Derbyshire areas.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, Derbyshire, South Yorkshire, Sheffield

Specialisms

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

Jo

Wrexham, North West England

Based in Cheshire Jo works with adults with a range of difficulties to enhance their well-being and quality of life.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Greater Manchester, Staffordshire, Conwy, Denbighshire, Flintshire, Wrexham

Specialisms

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

Specialist skills

Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Self care, Anxiety management & relaxation

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

Alison

Powys, Wales

Trained in advanced hand therapy and rehabilitation techniques, Alison helps clients by assessing and treating at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Hand Therapy, Moving and Handling, Neurological rehabilitation

Specialist skills

Blue Badges / Mobility Assessments

Lois

Stirling, Scotland

Based in Scotland, Lois provides expert assessments to clients at home, specialising in functional and neurological rehabilitation.

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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

Jan

London

Jan is an expert rehabilitation occupational therapist, delivering specialist neurological, vocational and functional assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, Essex, London - Central, London - East

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation

Hazel

West Yorkshire, North West England

Working in the North East, Hazel provides expert care to clients with a wide rage of needs and conditions.

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Profession

Occupational Therapy

Regions covered

North East England, West Yorkshire, Manchester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

Motivational interviewing, Counselling, PIPs, Fatigue management, Pain management, Motivational issues, Daily living skills, Community access, Fine motor skills, Behaviour management, Visual perception, Balance, Co-ordination, Self care, Anxiety management & relaxation

Client feedback

Further reading

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.

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Our Experts' Blog

Case Study: Neurological rehabilitation

In this case study Lucas has sustained an head injury resulting in multiple impairments including cognitive and some physical difficulties. Here we can see how an OT can help with neuro rehabilitation using a goal centred approach.

Read more