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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

Isabelle

Newcastle upon Tyne, Northumberland

Occupational Therapist Isabelle specialises in housing adaptations, equipment, seating and postural management, helping adults live safely and independently at home.

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Profession

Occupational Therapy

Regions covered

North East England, Northumberland, Newcastle upon Tyne

Specialisms

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

Specialist skills

DFG Assessments

Gwendoline

Cornwall, West and South West of England

Gwendoline is a highly experienced Cornwall-based Occupational Therapist specialising in functional rehabilitation, housing adaptations and equipment provision.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall, Devon, Isles of Scilly, Plymouth

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

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

Lara

Hertfordshire, London

Occupational Therapist Lara provides Neurological and Vocational Rehabilitation to clients in both Hertfordshire and London.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Vocational Rehabilitation, Neurological rehabilitation

Specialist skills

Motivational interviewing, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation, TBI

Sam

Cheshire, North West England

Working in the North West and West Midlands, Sam is an expert OT specialising in 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, TBI

Joy

Leicester, Northamptonshire

Midlands based Joy is an Occupational Therapist specializing in Housing & Equipment, Functional Rehabilitation, and Moving & Handling.

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Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Kent, Leicestershire, Northamptonshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer

Julie

Cheshire, North West England

Specialising in Functional and Neurological Rehabilitation, Julie is an Occupational Therapist based in Crewe, just south of Liverpool and Manchester.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, Wales, Cheshire, Derbyshire, Greater Manchester, Lancashire, Merseyside, Shropshire, Staffordshire, West Midlands, Conwy, Isle of Anglesey, Wrexham, Liverpool, Manchester, Stoke-on-Trent, Wolverhampton

Specialisms

Functional rehabilitation

Specialist skills

Motivational interviewing, PIPs, Fatigue management, Routine planning, Financial management, Daily living skills, Community access, Behaviour management, Planning & execution, Self care, Social integration, Anxiety management & relaxation, Mental Health

Zoe

Southampton, Hampshire

From simple equipment to life-changing home adaptations, Zoe provides specialist Occupational Therapy that helps adults live independently and safely.

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Profession

Occupational Therapy

Regions covered

South East of England, Hampshire, Isle of Wight

Specialisms

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

Carole

Greater Manchester, North West England

Carole is an experienced Occupational Therapist, supporting clients across North West England with complex needs, home adaptations, and equipment provision.

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Balance, Planning & execution, Self care, Postural management, Anxiety management & relaxation

Ellie

Southampton, Hampshire

Ellie is an expert 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, Pain management, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Self care, Postural management, Anxiety management & relaxation

Claire

Buckinghamshire, South East of England

Claire provides evidence-based Occupational Therapy assessments across Hertfordshire, Buckinghamshire and Bedfordshire, specialising in complex rehabilitation, housing and equipment.

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Profession

Occupational Therapy

Regions covered

South East of England, Bedfordshire, Buckinghamshire, Hertfordshire

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Community access

Janette

Liverpool, Cheshire

Janette, a specialist Hand Therapist, provides expert assessment, treatment, and rehabilitation for upper limb conditions across North West England.

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Profession

Occupational Therapy

Regions covered

North West England, Wales , Liverpool, Stoke-on-Trent

Specialisms

Hand Therapy, Functional rehabilitation

Specialist skills

Daily living skills, Fine motor skills, Handwriting assessment & treatment, Splinting, Anxiety management & relaxation

Sarah

Nottingham, Nottinghamshire

Based in Nottingham, Sarah is an expert OT focusing on Neurological Rehabilitation for adults with progressive conditions and brain injury.

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Profession

Occupational Therapy

Regions covered

East Midlands, Derbyshire, Leicestershire, Nottinghamshire, Nottingham, Derby

Specialisms

Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Balance, Co-ordination, Self care, Postural management, Splinting, Wheelchair accreditation, Anxiety management & relaxation, TBI

Emma

Hull, East Riding of Yorkshire

Emma an experienced OT based in Hull and provides expert rehabilitation to clients across Yorkshire and Lincolnshire.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, East Riding of Yorkshire

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Further qualifications

Train the trainer, Certificate in Education

Specialist skills

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

Jane

Cornwall, West and South West of England

Covering London and South West England, Jane specialises in housing, equipment, and neurological rehabilitation, supporting clients with diverse conditions.

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Profession

Occupational Therapy

Regions covered

London , London - Central, London - East

Specialisms

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

Further qualifications

BOBATH, Certificate in Education

Specialist skills

DFG Assessments, Fatigue management, Routine planning, Daily living skills, Fine motor skills, Self care, Postural management, Splinting, Wheelchair accreditation

Jessica

Nottingham, Nottinghamshire

Jessica is a highly skilled Occupational Therapist who works with adults across 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 management, Wheelchair accreditation, TBI

Khatira

London - Central, London

Occupational Therapist Khatira, specialises in housing and equipment, functional rehabilitation, and moving and handling.

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Profession

Occupational Therapy

Regions covered

London

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Pain management, Daily living skills, Community access, Self care

Heidi

Bristol, West and South West of England

Serving clients across the West and South of England, Heidi is an experienced Occupational Therapist specialising in Functional Rehabilitation.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Bristol, Gloucestershire, Somerset, Wiltshire

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

Routine planning, Daily living skills, Self care

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, Aberdeenshire, Argyll and Bute, Clackmannan, Dundee (City of), East Lothian, Edinburgh (City of), Falkirk, Fife, Highland, Moray, Perthshire and Kinross, 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

Michelle

Staffordshire, West Midlands

Qualified in Sensory Integration, Michelle is a Paediatric Occupational Therapist supporting children with autism, ADHD and developmental needs.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

DFG Assessments, Fatigue management, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Anxiety management & relaxation, Learning disability, Mental Health, TBI

Rachel

Hertfordshire, South of England

Rachel is a Paediatric Occupational Therapist supporting children in the South of England with diverse developmental, behavioural, and learning challenges.

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Profession

Occupational Therapy

Regions covered

London, South of England, Cambridgeshire, Essex, Hertfordshire

Specialisms

Paediatrics, Functional rehabilitation

Specialist skills

Routine planning, Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination, Planning & execution, Self care, School Based Therapy/Support, Anxiety management & relaxation, Mental Health

Lorna

Shropshire, West Midlands

Lorna is a Paediatric OT located in Shropshire, supporting with sensory and motor needs for clients across the West Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, Wales, Cheshire, Herefordshire, Shropshire, Staffordshire, West Midlands, Powys, Birmingham, Stoke-on-Trent, Wolverhampton

Specialisms

Paediatrics, Housing and Equipment, Functional rehabilitation

Further qualifications

Sensory Integration, CO-OP Practitioner

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Pain management, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, School Based Therapy/Support, Anxiety management & relaxation

Aminah

Buckinghamshire, South East of England

Specialising in functional rehabilitation and moving and handling, Aminah is an Occupational Therapist covering South East England.

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Profession

Occupational Therapy

Regions covered

South East of England, Buckinghamshire

Specialisms

Functional rehabilitation, Moving and Handling

Specialist skills

Daily living skills, Community access, Balance

Susanna

Norfolk, East Anglia

Qualified since 2002, Susanna specialises in neurological rehabilitation, helping adults achieve meaningful goals through expert Occupational Therapy interventions.

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Profession

Occupational Therapy

Regions covered

East Anglia

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Daily living skills, Self care, Postural management, Splinting, Wheelchair accreditation, TBI

Zoe

Wakefield, West Yorkshire

Occupational Therapist Zoe, specializing in functional rehabilitation, serves the North East of England in Yorkshire and Lincolnshire.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation

Further qualifications

AMPS

Specialist skills

Motivational issues, Daily living skills, Social integration, Anxiety management & relaxation, Mental Health

Melanie

Cardiff, Newport

Mel is an experienced Occupational Therapist specialising in functional rehabilitation, supporting adults across Wales and South West England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Self care, Postural management, Anxiety management & relaxation, Mental Health

Jessica

Oxfordshire, South East of England

Jessica provides expert Occupational Therapy services, specialising in adaptations, equipment, rehabilitation, mental health, and enhancing independence across diverse needs.

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Profession

Occupational Therapy

Regions covered

South East of England, Berkshire, Oxfordshire, Wiltshire, Swindon

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

Motivational interviewing, DFG Assessments, Motivational issues, Routine planning, Financial management, Daily living skills, Community access, Self care, Social integration, Mental Health

Joanna

Leicester, Northamptonshire

Joanna is an experienced Occupational Therapist specialising in functional rehabilitation, postural management, moving and handling and complex equipment provision.

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Profession

Occupational Therapy

Regions covered

East Anglia, Bedfordshire, Leicester

Specialisms

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

Gemma

Hampshire, South of England

Gemma is an Occupational Therapist specializing in housing and equipment, seating and postural management, functional and neurological rehabilitation.

View profile

Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Jennifer

Middlesbrough, North Yorkshire

Jennifer provides expert occupational therapy to clients across the North of England, including Durham, Liverpool, Manchester, and Newcastle.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Yorkshire and Lincolnshire, Cleveland, Cumbria, Durham, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, Lincolnshire, Merseyside, North Yorkshire, South Yorkshire, Tyne and Wear, West Yorkshire, Leeds, Sheffield, Liverpool, Manchester, Sunderland, Newcastle upon Tyne, Hull, Salford, Middlesbrough

Specialisms

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

Further qualifications

BOBATH

Specialist skills

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

Kate

Brighton, West Sussex

Kate is an experienced Occupational Therapist specialising in rehabilitation, housing adaptations, and equipment provision across Southern England.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, Fatigue management, Daily living skills, Postural management

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