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Disabling tiredness

We all experience tiredness, but when this becomes debilitating and persistent the effects can be life-changing.

We work with people experiencing fatigue from a variety of causes to improve their motivation, energy and engagement during their day-to-day life and with the world around them.

How OT's help

Fatigue can be the result of illness or accident and can also occur during recovery from surgery. In other cases, fatigue seems to have no obvious cause but can nonetheless lead to problems in day-to-day life and relationships.

Some of the most common areas of difficulty caused by excessive fatigue that we can help you overcome include:

  • Meeting familial responsibilities such as looking after children and maintaining a home
  • Performing job responsibilities
  • Cultivating friendships and social activities
  • Maintaining motivation and concentration
  • Avoiding falls
  • Maintaining mobility, especially if accompanied by acute or chronic pain

Our assessment process allows a specialist occupational therapist to identify all such problems, make recommendations to reduce them and (if desired) arrange for any recommended changes to be made.

Our approach

Our aim is to provide practical and cost-effective solutions to managing your fatigue. Our assessment may involve looking at:

  • Your physical, medical and social history to identify the reason for current levels of fatigue
  • Present and future degrees of mobility, strength, pain and general health
  • The home environment and its influence on your energy level
  • Your daily routine, and that of those you care for or who care for you
  • Your own, your family's or your carer's specific goals and wishes

Common recommendations

Some practical solutions that we may recommend to help you manage your fatigue include:

  • A graded approach to activity
  • Relaxation techniques
  • Recognising warning signs that you need to rest
  • Sleeping routines
  • Daily task planning and management

We can help with

If required we can also provide:

  • A fatigue management programme, involving six weekly sessions with an occupational therapist to provide you with the skills you need to manage your activity and fatigue
  • Training for family and carers on the principles of fatigue management and how best to support you
  • A tailored activity programme to ensure that you pace yourself effectively and incorporate sufficient rest into your routine

Public sector, charities and businesses

Is your organisation looking for professional OT services?

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Why The OT Practice

We recognise the importance of knowing that you are in safe hands. That is why, when you first make contact with us, you will straightaway be able to explain your concerns to a member of our client management team who will be able to provide relevant information about our services, answer any questions you may have and provide guidance on next steps. This dedicated team will then remain in charge of your case through any subsequent assessment and treatment we provide.

Other reasons to rely on The OT Practice include:

  • We visit you in your own home and at a time convenient to you and your family, and are happy to offer evening and weekend appointments
  • We do not have waiting lists and so can offer appointments within 7 working days of referral or sooner
  • Our extensive nationwide network of registered occupational therapists allows us to find you the right local therapist
  • We can provide ongoing support for as long as you need it
  • Our clear, fixed pricing system will be provided to you in writing for you to consider in your own time
  • Your occupational therapist will be a specialist in their field, with over 5 years' clinical experience including time in social services or NHS practice
  • Our team are well connected to networks of local and national equipment providers, stair lift and building companies

Services for businesses, organisations and the public sector

Case managers

We help your client's achieve optimum independence through assessment, treatment & advice.

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Charities

Working with charities to provide reports and recommendations for grant funding applications.

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Healthcare concierge

Assessment and treatment services for clients in their own homes both in the UK and internationally.

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Next steps

Initial enquiry

During your initial call to us you can discuss your concerns with a member of our client management team, who will be able to understand what your difficulties are, provide information and advice on our services and identify the right OT from our team.

Quote

If therapist input is recommended, we will send you a detailed quote via email or in writing explaining what, after a full assessment, we would propose and how much it would cost, as well as rates for further work that might be recommended in the future.

Referral

Once you have had time to consider the options and costs, and if you would like to go ahead, the next step would be to fill in our online referral form. In the meantime, if you have further concerns or questions then our client manager will be happy to discuss them with you.

Assessment

Our therapist will then contact you within 24 hours to arrange a visit at your home. Normally this first visit will comprise a full assessment, after which you will receive a comprehensive written report.

Advice

The report will include a clear record of our findings and recommendations. These may include useful items you can buy or activities you can do independently, but they may also include more complex recommendations such as home adaptations or additional treatment by the occupational therapist. Where additional involvement is required, we will follow up the report with a detailed quotation so that you have all the information needed to make an informed decision.

As Private Occupational Therapists our aim is to provide choices and guidance to help you decide what the best options are for you

Nadia

Sheffield, South Yorkshire

Nadia supports people after life-changing neurological injury, delivering occupational therapy that rebuilds confidence, independence and everyday participation.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire

Specialisms

Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Self care, Social integration, TBI

Jackie

Conwy, Wales

Jackie is an experienced Occupational Therapist specialising in Housing, Equipment, and Moving and Handling across Wales and North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Greater Manchester, Merseyside, Shropshire, Bridgend, Cardiff, Ceredigion, Conwy, Denbighshire, Flintshire, Isle of Anglesey, Merthyr Tydfil, Pembrokeshire, Powys, Swansea, Wrexham, Liverpool, Manchester, Bristol, Cardiff, Coventry, Swansea, Salford

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Routine planning, Daily living skills, Community access, Self care, Mental Health

Hannah

London - South, Surrey

Based in London, Hannah is an experienced Rehabilitation Occupational Therapist supporting children, adults and older people with complex clinical needs.

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Profession

Occupational Therapy

Regions covered

London , London - South

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Planning & execution, Self care, Postural management, Splinting, TBI

Gaynor

Northamptonshire, East Midlands

Gaynor is a highly skilled OT providing expert neurological, vocational, and functional rehabilitation to clients in the East Midlands

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Midlands, East Anglia, Cambridgeshire, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, South Yorkshire, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

PIPs, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Social integration, Anxiety management & relaxation, TBI

Gaya

Kent, South East of England

Working across Kent, Gaya provides expert Occupational Therapy to clients in their own homes and workplaces.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

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 management, Splinting, Wheelchair accreditation, TBI

Roseanne

Down, Northern Ireland

Roseanne, an Occupational Therapist, specializes in neurological and vocational rehabilitation, with expertise in sensory integration.

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Profession

Occupational Therapy

Regions covered

South East of England, Northern Ireland, Ireland, Kent, Antrim, Armagh, Down, Belfast

Specialisms

Vocational Rehabilitation, Neurological rehabilitation

Further qualifications

Sensory Integration, AMPS, Sensory Attachment Therapy

Specialist skills

Motivational issues, Routine planning, Daily living skills, Sensory integration, Self care, Social integration, Mental Health

Helena

West Sussex, South East of England

Helena, an experienced Occupational Therapist in the South East, specialises in equipment and home adaptation assessments to support independence.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Samantha

Cambridgeshire, East Anglia

Samantha supports children and adults across Cambridgeshire, Rutland and Northamptonshire, specialising in paediatrics, equipment, adaptations and postural management.

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Profession

Occupational Therapy

Regions covered

East Midlands, East Anglia, Bedfordshire, Cambridgeshire, Lincolnshire, Norfolk, Northamptonshire, Rutland

Specialisms

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

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support

Ebby

Dumfries and Galloway, Scotland

Ebby provides expert Occupational Therapy, helping adults across Scotland with Functional Rehabilitation and Hand Therapy.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Northumberland, Tyne and Wear, Argyll and Bute, Borders, Clackmannan, East Ayrshire, East Dunbartonshire, East Renfrewshire, Edinburgh (City of), Falkirk, Glasgow (City of), Inverclyde, Midlothian, North Ayrshire, North Lanarkshire, Renfrewshire, South Ayrshire, South Lanarkshire, West Dunbartonshire, West Lothian, Glasgow, Edinburgh

Specialisms

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

Specialist skills

Daily living skills, Community access, Planning & execution, Self care, Social integration

Sophie

London - Central, Oxfordshire

Sophie is a highly experienced OT specialising in neuro rehab covering both Oxfordshire and London.

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Profession

Occupational Therapy

Regions covered

South of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, Devon, Gloucestershire, Hertfordshire, Northamptonshire, Oxfordshire, West Midlands, Wiltshire, London - Central, London - North, London - West, Birmingham

Specialisms

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

Suzanne

Cheshire, North West England

Suzanne provides expert occupational therapy services, specialising in rehabilitation, equipment and adaptations and functional assessments across North West England.

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Profession

Occupational Therapy

Regions covered

North West England

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Social integration, Anxiety management & relaxation, Mental Health

Angela

Dumfries and Galloway, Scotland

Angela is an experienced Occupational Therapist specialising in Neurological Rehabilitation. She visits clients across North-West England and Scotland.

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Profession

Occupational Therapy

Regions covered

North West England, Scotland, Cumbria, Dumfries and Galloway

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, Anxiety management & relaxation

Sara

Brighton, East 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

Gillian

Glasgow, North Lanarkshire

Located in Glasgow, Gillian provides expert Neurological Rehabilitation for clients with spinal cord injuries and brain injuries.

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Profession

Occupational Therapy

Regions covered

Scotland, Borders, Clackmannan, East Ayrshire, East Renfrewshire, Edinburgh (City of), Falkirk, Glasgow (City of), Inverclyde, Midlothian, North Ayrshire, North Lanarkshire, Renfrewshire, South Lanarkshire, Stirling, West Lothian, Glasgow, Edinburgh

Specialisms

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, Splinting, Anxiety management & relaxation, TBI

Thandi

Cambridgeshire, East Midlands

Thandi is a highly experienced Occupational Therapist specialising in neurorehabilitation, functional rehabilitation and mental health across Lancashire.

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Profession

Occupational Therapy

Regions covered

North West England, East Midlands, Cambridgeshire, Liverpool

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care, Mental Health, TBI

Sue

Gloucestershire, West and South West of England

As an OT with nearly 40 years of experience, Sue is an expert in paediatrics; vocational and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

West Midlands, West and South West of England, Wales, Avon, Bristol, Gloucestershire, Herefordshire, Oxfordshire, Somerset, Wiltshire, Worcestershire

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Fatigue management, Pain management, Motivational issues, Financial management, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, School Based Therapy/Support, Learning disability

Joanne

Cardiff, Cardiff

Qualified since 1997, Occupational Therapist Joanne uses her extensive rehabilitation experience to help clients manage complex conditions and maximise independence.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Somerset, Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Rhondda Cynon Taff, Swansea, The Vale of Glamorgan

Specialisms

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

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Planning & execution, Self care, Anxiety management & relaxation, Mental Health, TBI

Tina

Plymouth, Devon

Operating in west and south west England (Cornwall, Dorset, Somerset, Devon, Plymouth) Tina specialises in Functional, Neurological and Vocational Rehabilitation.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BIA

Specialist skills

Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Splinting, Anxiety management & relaxation, TBI

Lisa

Suffolk, East Anglia

Lisa is a highly experienced Occupational Therapist specialising in brain injury, neurological rehabilitation, functional rehabilitation and vocational rehabilitation.

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Profession

Occupational Therapy

Regions covered

North East England, East Anglia, London, Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk, Suffolk

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH, AMPS

Specialist skills

Fatigue management, Financial management, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Emma

North Yorkshire, Yorkshire and Lincolnshire

I qualified as an occupational therapist in 2004 and specialise in the field of neurology.

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Profession

Occupational Therapy

Regions covered

North East England, East Riding of Yorkshire, Humberside, North Yorkshire, South Yorkshire, West Yorkshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH, AMPS, Train the trainer, Postgraduate cert. Vocational Rehab

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Daily living skills, Planning & execution, Postural management, Anxiety management & relaxation, TBI

Jennie

South Yorkshire, Yorkshire and Lincolnshire

Jennie is a highly experienced OT based in Doncaster. She provides Functional and Neuro rehabilitation for adults across Yorkshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, South Yorkshire, Sheffield

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Co-ordination, Planning & execution, Self care

Lucy

London - South, London

Based in London, Lucy is an Occupational Therapist with over 15 years of experience specialising in neurological rehabilitation.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Pain management, Daily living skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Postural management, Splinting, TBI

Amy

Birmingham, West Midlands

Birmingham-based Occupational Therapist Amy specialises in manual and powered wheelchairs, complex seating assessments and 24-hour posture management.

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Profession

Occupational Therapy

Regions covered

West Midlands, West Midlands, Birmingham

Specialisms

Seating and Postural management, Functional rehabilitation

Specialist skills

Postural management, Wheelchair accreditation, Learning disability, Mental Health

Joanne

Newcastle upon Tyne, Northumberland

Working with adults, Joanne offers specialised Occupational Therapy services focusing on neurological rehabilitation, housing adaptations, functional rehabilitation, and equipment provision.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Cumbria, Durham, North Yorkshire, Northumberland, Tyne and Wear, Borders, East Lothian, Edinburgh (City of), Fife, Midlothian, West Lothian, Edinburgh, Sunderland, Newcastle upon Tyne, Middlesbrough

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, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Self care, Anxiety management & relaxation, TBI

Christine

East Riding of Yorkshire, Yorkshire and Lincolnshire

Qualifying in 1992, Christine specialises in moving & handling, housing & equipment and neurological & functional rehabilitation for adult clients.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Humberside, North Yorkshire, Hull

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Daily living skills, Community access, Self care

Catherine

Sheffield, South 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

Paul

Norfolk, East Anglia

Paul provides specialist Occupational Therapy across Norfolk, with expertise in hand therapy, splinting and functional rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia, Norfolk, Suffolk

Specialisms

Hand Therapy, Functional rehabilitation, Moving and Handling

Further qualifications

CBT

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Daily living skills, Fine motor skills, Self care, Splinting, Anxiety management & relaxation

Stacey

Derby, Derbyshire

Stacey, an Occupational Therapist based in the East Midlands, specifically Derby and Derbyshire, specialises in housing and equipment, and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Nottinghamshire, Nottingham, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Balance, Co-ordination, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Clare

Swindon, Wiltshire

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BIA, Train the trainer

Shona

Dumfries and Galloway, Scotland

Shona is an experienced Occupational Therapist specialising in housing, equipment, moving and handling and functional rehabilitation across South Scotland.

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Profession

Occupational Therapy

Regions covered

Scotland, Cumbria, Dumfries and Galloway, East Ayrshire, North Ayrshire, South Ayrshire, South Lanarkshire, Glasgow

Specialisms

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

Specialist skills

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

Client feedback

Further reading

Our Experts' Blog

CHARITIES: Mental health and getting back on your feet

In this edition of our Educational Series for charities, we explore how occupational therapy supports people whose mental health challenges affect everyday life and participation. We highlight how OTs work alongside individuals to understand practical barriers and identify realistic ways to promote recovery, independence and engagement in meaningful roles at home and in the community.

Read more

Our Experts' Blog

Achievable Fatigue Management Techniques

Fatigue is something that is part of most of our client’s rehabilitation journeys. OT's work with clients to break down tasks & build strategic rehabilitation programmes whilst managing the need for rest & recuperation allowing clients to realise their goals & stretch their capabilities.

Read more