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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 our client manager who is also an experienced occupational therapist. They will then remain your primary point-of-contact at The OT Practice 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
  • We do not add on travel or mileage costs
  • 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

Free consultation

During your initial call to us you can discuss your concerns with one of our client managers, whose clinical knowledge will allow them to understand exactly what your difficulties are 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

Michelle

Surrey, South East of England

Trained in advanced sensory integration techniques and British Sign Language, Michelle helps families by treating children at home or school.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Berkshire, Middlesex, Surrey, London - Central, London - South

Specialisms

Paediatrics, Housing and Equipment, Neurological rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural managemen, DMO (Lycra) Splinting, School Based Therapy/Support, Sign Language

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

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

Lesley

Birmingham, Worcestershire

Working in the West Midlands, Lesley provides expert rehabilitation and postural management treatment to adult clients in their own homes.

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Profession

Occupational Therapy

Regions covered

West Midlands, South of England, Surrey, West Midlands, Worcestershire, Birmingham

Specialisms

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

Specialist skills

Fatigue management, Pain management, Daily living skills, Self care, Postural managemen, Anxiety management & relaxation

Rachael

London - North, Suffolk

Trained in advanced Bobath techniques, Rachael helps clients by delivering specialist housing and rehabilitation assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South of England, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Essex, Hertfordshire, Middlesex, Norfolk, Suffolk, London - North

Specialisms

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

Further qualifications

BOBATH, BIA

Specialist skills

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

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

Sara

Brighton, West Sussex

Based in Brighton, Sara provides expert occupational therapy to adult clients. She has completed a Masters in Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Daily living skills, Community access, Behaviour management, Visual perception, Planning & execution, Self care, Social integration

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

Kathryn

Newcastle upon Tyne, North East England

Working in the north east, Kathryn is an expert occupational therapist working with clients at home with rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

North West England, North East England

Specialisms

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

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

Rachel

Bristol, Avon

Working across the south west and south Wales, Rachel is an expert OT working with adults in their own homes.

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Profession

Occupational Therapy

Regions covered

Wales, Avon, Bristol

Specialisms

Seating and Postural management, Moving and Handling, Neurological rehabilitation

Specialist skills

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

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

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

Clare

Bristol, Avon

Working in the Bristol area, Clare provides expert occupational therapy to clients with a variety of needs and conditions.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

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

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

Barbara

East Riding of Yorkshire, Yorkshire and Lincolnshire

Barbara is an expert occupational therapist, delivering specialist rehabilitation and seating & postural management assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Lincolnshire, North Yorkshire, South Yorkshire, West Yorkshire

Specialisms

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

Specialist skills

Fatigue management

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

Kimann

Surrey, London

Having trained and worked internationally, Kimann specialises in rehabilitation, housing & equipment and seating & postural management.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, East Sussex, Essex, Hertfordshire, Kent, Middlesex, Surrey

Specialisms

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

Further qualifications

Sensory Integration, AMPS

Specialist skills

Counselling, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Sensory integration, Behaviour management, Self care, Social integration, Anxiety management & relaxation

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

Anita

Plymouth, Devon

Based in Plymouth, Anita is a highly skilled paediatric OT working with children and their families across the south west.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, South of England, Wales, Devon, Plymouth

Specialisms

Paediatrics, Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Counselling, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Balance, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Lindsey

Powys, Wales

Working across South Wales, Lindsey is an expert Occupational Therapist providing personalised assessments and treatment plans for her clients.

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Profession

Occupational Therapy

Regions covered

Wales, Carmarthenshire, Ceredigion, Pembrokeshire, Powys

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

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

Carole

Fife, Scotland

Based in Fife, Carole provides expert occupational therapy helping adults with housing & equipment and rehabilitation needs.

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Profession

Occupational Therapy

Regions covered

Scotland, Dundee (City of), East Lothian, Edinburgh (City of), Fife, West Lothian

Specialisms

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

Further qualifications

AMPS

Specialist skills

Counselling, PIPs, Fatigue management, Motivational issues, Routine planning, Daily living skills, Community access, Behaviour management, Self care, Social integration

Anne

Wiltshire, South East of England

Anne is an expert neurological occupational therapist, delivering specialist rehabilitation to adult and elderly clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South of England, Avon, Bedfordshire, Berkshire, Bristol, Buckinghamshire, Dorset, Gloucestershire, Hampshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, Surrey, Warwickshire, West Midlands, Wiltshire

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

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

Emily

Birmingham, Worcestershire

Working across the West Midlands, Emily provides expert Occupational Therapy treatment to her clients at home and work.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Staffordshire, Warwickshire, West Midlands, Worcestershire

Specialisms

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

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Routine planning, Financial management, Daily living skills, Balance, Planning & execution, Social integration, Postural managemen, Anxiety management & relaxation

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

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

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

Nina

Southampton, Berkshire

Qualifying in 2006, Nina specialises in housing & equipment, seating & postural management and rehabilitation for adults.

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Profession

Occupational Therapy

Regions covered

West and South West of England, South of England, South East of England, Berkshire, Buckinghamshire, Hampshire, Oxfordshire, Wiltshire, Southampton

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Pain management, Daily living skills, Community access, Visual perception, Balance, Self care

Clare

London - South, Middlesex

Having worked internationally in South Africa and the UK, Clare specialises in housing & equipment, moving & handling and rehabilitation.

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Profession

Occupational Therapy

Regions covered

London, Middlesex, London - Central, London - South, London - West

Specialisms

Housing and Equipment, Moving and Handling, Neurological rehabilitation

Specialist skills

DFG Assessments, Daily living skills, Self care

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.

Read more

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