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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

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Self care, Postural management

Paul

Leicester, Worcestershire

Working in South Yorkshire, East & West Midlands, Paul carries out expert assessments and treatment of adults with various needs.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, PIPs, Self care

Helen

Nottingham, West Midlands

Trained in advanced hand therapy techniques, Helen delivers specialist rehabilitation assessments and treatment to clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Hand Therapy, Housing and Equipment, Functional rehabilitation

Specialist skills

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

Jane

Wiltshire, South East of England

Qualifying in 2000, Jane specialises in housing & equipment, rehabilitation and seating & postural management for adults and children.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Berkshire, Dorset, Hampshire, Wiltshire, Southampton

Specialisms

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

Janet

Kent, South East of England

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, Neurological rehabilitation

Further qualifications

Therapeutic listening

Specialist skills

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

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

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

Sarah

West Yorkshire, Yorkshire and Lincolnshire

Qualifying in 2007, Sarah specialises in seating & postural management, housing & equipment and rehabilitation for adult clients.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Social integration

Stephanie

Wrexham, North West England

Based in Cheshire, Stephanie provides expert occupational therapy to adult clients. She specialises in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, West Yorkshire, Wrexham, Liverpool, Manchester, Salford

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor 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 management, Splinting, Wheelchair accreditation

Gemma

Birmingham, Worcestershire

Working in the area of rehabilitation and adaptations, Gemma provides expert Occupational Therapy to clients in the West Midlands.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, Cheshire, Greater Manchester, Shropshire, Staffordshire, West Midlands, Worcestershire, Birmingham, Manchester

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational issues, Routine planning, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Social integration

Ian

Wolverhampton, West Midlands

Ian specialises in rehabilitation, having completed postgraduate training in managing neurological conditions.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Herefordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Birmingham, Coventry, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Pain management, Routine planning, Financial management, Daily living skills, Community access, Planning & execution, Self care, Social integration

Joanne

Worcestershire, West Midlands

Based in Warwickshire, Joanne specialises in seating & postural management, moving & handling and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Leicester, Stoke-on-Trent

Specialisms

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

Specialist skills

Fatigue management, Self care, Wheelchair accreditation, 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

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

Jura

London - East, London

An expert occupational therapist based in London, Jura specialises in seating & postural management, moving & handling and rehabilitation.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Daily living skills, Community access, Self care, Postural management, Wheelchair accreditation

Sam

Stoke-on-Trent, Newport

Working in the North West and West Midlands, Sam is an expert OT working in the area of 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

Holly

Manchester, Cheshire

Trained in advanced hand therapy techniques, Holly helps clients by delivering rehabilitation assesments in their home environment.

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Profession

Occupational Therapy

Regions covered

North West England, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, Liverpool, Manchester, Derby

Specialisms

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

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Self care, Splinting

Joanne

Manchester, Greater Manchester

Joanne is an expert Occupational Therapist specialising in neurological rehabilitation, working with clients in their owns homes across Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Kirsty

Glasgow, Glasgow (City of)

An expert occupational therapist, Kirsty works with children with a range of conditions in West Scotland in their own environments.

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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

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

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

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

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

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 management, Splinting, Wheelchair accreditation

Ellie

Southampton, Hampshire

Ellie is a highly regarded 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, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management, Splinting

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

Samantha

Hertfordshire, East Anglia

Samantha is an expert occupational therapist, delivering specialist seating, hand therapy, neurological and functional rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills

Lucy

Cambridgeshire, East Anglia

Qualifying in 1999, Lucy specialises in seating & postural management, rehabilitation and housing & equipment for adults.

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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

Tracy

Worcestershire, West Midlands

Based in Worcestershire, Tracy provides expert neurological occupational therapy helping clients with brain injury, stroke and mental health needs.

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Profession

Occupational Therapy

Regions covered

West Midlands, Herefordshire, Oxfordshire, Shropshire, Warwickshire, West Midlands, Worcestershire, Birmingham, Coventry

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Planning & execution, Self care

Catriona

London - South, London

Based in London Catriona is an expert Occupational Therapist, working with children with a range of conditions.

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Profession

Occupational Therapy

Regions covered

London, South East of England , London - South

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Chailey Postural Management

Specialist skills

Fatigue management, Pain management, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support, Anxiety management & relaxation

Tracy

Leeds, West Yorkshire

Specialising in rehabilitation, Tracy is an expert Occupational Therapist working across Yorkshire with clients in their own homes and workplaces.

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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

Louise

Suffolk, South East of England

Trained in advanced sensory integration techniques, Louise treats both children and adults at home, school and work.

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Profession

Occupational Therapy

Regions covered

East Anglia, South East of England, Essex, Suffolk

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Routine planning, Daily living skills, Community access, Sensory integration, Behaviour management, Social integration, Anxiety management & relaxation

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