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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

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, Functional rehabilitation, 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

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

Susie

Hertfordshire, East Anglia

Susie is an expert Neurological OT, delivering specialist assessments and rehabilitation to clients across London and the South East.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Bedfordshire, Buckinghamshire, Hertfordshire, Oxfordshire, London - North

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Fine motor skills, Self care, Postural management, Anxiety management & relaxation

Lucy

Birmingham, West Midlands

Covering a client base across the West Midlands, Lucy is an expert OT specialising in Functional Rehabilitation and elderly care.

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Profession

Occupational Therapy

Regions covered

West Midlands, Staffordshire, West Midlands, Birmingham

Specialisms

Functional rehabilitation

Specialist skills

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

Samantha

East Riding of Yorkshire, Yorkshire and Lincolnshire

Specialising in Housing & Equipment, Samantha offers expert assessments and recommendations for clients across Yorkshire and Lincolnshire.

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Profession

Regions covered

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

Specialisms

Housing and Equipment, Functional rehabilitation

Helen

Hertfordshire, East Anglia

Helen is an experienced OT specialising in Neurological Rehabilitation 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

Alice

Newcastle upon Tyne, Tyne and Wear

Located in Hebburn, just outside of Newcastle, Alice is an experienced OT delivering Functional and Neurological Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Yorkshire and Lincolnshire, Scotland, Cheshire, Derbyshire, Durham, Greater Manchester, North Yorkshire, Northumberland, South Yorkshire, Tyne and Wear, Borders, Edinburgh (City of), Glasgow (City of), Birmingham, Leeds, Glasgow, Sheffield, Bradford, Edinburgh, Manchester, Sunderland, Newcastle upon Tyne, Salford

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

PIPs, Motivational issues, Routine planning, Daily living skills, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Mary Kate

Belfast, Londonderry

Mary Kate is an OT in Northern Ireland, specialising in Seating & Postural Management and delivering expert wheelchair assessments.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

DFG Assessments, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Visual perception, Co-ordination, Planning & execution, Self care, Postural management, Wheelchair accreditation

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, West Midlands, Worcestershire, Birmingham

Specialisms

Seating and Postural management, Functional rehabilitation, Moving and Handling

Specialist skills

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

Paul

Leicester, Leicestershire

Based in Leicester, Paul is a specialist OT delivering expert assessments and interventions across South Yorkshire and The Midlands.

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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, Leicester

Specialisms

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

Specialist skills

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

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

Emma

Southampton, Hampshire

Emma is a highly skilled OT based in Southampton. She supports adult and paediatric clients with expert assessments and rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, West and South West of England, London, South of England, South East of England, Wales, Berkshire, Bristol, Buckinghamshire, Derbyshire, Devon, Dorset, East Sussex, Hampshire, Herefordshire, Isle of Wight, Leicestershire, Middlesex, Nottinghamshire, Oxfordshire, Somerset, Suffolk, Surrey, West Sussex, Wiltshire, London - Central, London - South, Birmingham, Sheffield, Bristol, Nottingham, Leicester, Brighton, Stoke-on-Trent, Derby, Southampton

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation

Further qualifications

CBT

Specialist skills

Motivational interviewing, Counselling, Fatigue management, Motivational issues, Routine planning, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Planning & execution, Self care, Social integration, School Based Therapy/Support, Anxiety management & relaxation, Learning disability

Heather

Northamptonshire, East Midlands

Located in Northampton, Heather provides specialist neurological assessments to clients in their home environment across The Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, East Anglia, Bedfordshire, Buckinghamshire, Cambridgeshire, Leicestershire, Northamptonshire, Nottinghamshire, Oxfordshire, Rutland, Warwickshire

Specialisms

Seating and Postural management, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Fatigue management, Routine planning, Daily living skills, Community access, Fine motor skills, Visual perception, Planning & execution, Self care, Postural management, Splinting

Amie

Somerset, West and South West of England

Based in Somerset, Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation and visiting clients across the county.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Stephanie

London - West, London

Based in London, Stephanie is an experienced OT offering Functional Rehabilitation and Housing & Equipment assessments and recommendations.

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Profession

Occupational Therapy

Regions covered

London, Buckinghamshire, Middlesex, London - Central, London - West

Specialisms

Housing and Equipment, Functional rehabilitation

Specialist skills

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

Naomi

Cambridgeshire, East Anglia

Visiting clients across Cambridgeshire, Naomi is an expert OT with vast experience in Neurological Rehabilitation and home adaptations.

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Profession

Occupational Therapy

Regions covered

East Anglia, Cambridgeshire

Specialisms

Functional rehabilitation

Specialist skills

DFG Assessments, Fatigue management, Daily living skills

Lucy

Middlesex, South East of England

Lucy is an experienced OT providing specialist assessments and interventions to clients with a range of neurological diagnoses.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Liz

Glasgow (City of), Scotland

Covering a large client base across Scotland, Liz is an OT delivering specialist Neurological Rehabilitation for adults and children.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Scotland, Aberdeen City, Aberdeenshire, Angus, Argyll and Bute, Borders, Clackmannan, Dumfries and Galloway, Dundee (City of), East Ayrshire, East Dunbartonshire, East Lothian, East Renfrewshire, Edinburgh (City of), Falkirk, Fife, Glasgow (City of), Highland, Inverclyde, Midlothian, Moray, North Ayrshire, North Lanarkshire, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire, Stirling, West Dunbartonshire, West Lothian, Western Isles

Specialisms

Paediatrics, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

PIPs, Fatigue management, Pain management, Motivational issues, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Planning & execution, Self care, Social integration, Postural management, Anxiety management & relaxation, Learning disability

Sarah

Swindon, Wiltshire

Based in Swindon, Sarah is a Paediatric OT visiting children in a home or school setting across the South-West.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Berkshire, Bristol, Oxfordshire, Wiltshire, Swindon

Specialisms

Paediatrics, Seating and Postural management, Functional rehabilitation

Specialist skills

Daily living skills, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Self care, Postural management, School Based Therapy/Support, Makaton, Learning disability

Jane

Wiltshire, South East of England

Jane is a Paediatric OT with over 20 years’ experience, specialising in Housing & Equipment and Rehabilitation.

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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

Further qualifications

Train the trainer

Jennifer

Wrexham, Wales

Jennifer is an experienced OT based in Wrexham, providing clients across Wales and the North East with Functional Rehabilitation.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Merseyside, Shropshire, Conwy, Denbighshire, Flintshire, Wrexham

Specialisms

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

Specialist skills

Fatigue management, Daily living skills, Balance

Amy

Staffordshire, West Midlands

Amy is an OT based in Staffordshire, delivering expert Housing & Equipment assessments for adults with physical disabilities and conditions.

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Profession

Occupational Therapy

Regions covered

North West England, West Midlands, East Midlands, West and South West of England, South East of England, Berkshire, Buckinghamshire, Cambridgeshire, Cheshire, Derbyshire, Devon, Gloucestershire, Greater Manchester, Kent, Leicestershire, Merseyside, Northamptonshire, Nottinghamshire, Oxfordshire, Shropshire, Staffordshire, Warwickshire, West Midlands, Worcestershire, Denbighshire, Flintshire, Wrexham, Birmingham, Liverpool, Manchester, Coventry, Nottingham, Leicester, Plymouth, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

Housing and Equipment, Functional rehabilitation, Moving and Handling

Specialist skills

DFG Assessments, PIPs, Daily living skills

Joy

Derbyshire, East Midlands

Joy is an expert Occupational Therapist, delivering specialist rehabilitation and seating assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

Yorkshire and Lincolnshire, West Midlands, East Midlands, Derbyshire, Nottinghamshire, Staffordshire

Specialisms

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

Specialist skills

Motivational interviewing, Fatigue management, Motivational issues, Routine planning, Financial management, Daily living skills, Fine motor skills, Visual perception, Planning & execution, Self care, Social integration, Anxiety management & relaxation

Karen

Hertfordshire, East Anglia

Karen is an Occupational Therapist based in London, delivering specialist rehabilitation and Housing & Equipment assessments to clients at home.

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Profession

Occupational Therapy

Regions covered

London, South of England, South East of England, Bedfordshire, Berkshire, Buckinghamshire, Cambridgeshire, Essex, Hampshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, Surrey, London - Central, London - North, London - West

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Self care, Postural management

Dawn

Cornwall, West and South West of England

Dawn is an OT based in Cornwall, providing expert assessments and therapy for both adult and paediatric clients.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Cornwall

Specialisms

Paediatrics, Functional rehabilitation

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Sensory integration, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Visual perception, Co-ordination, Self care, Postural management, School Based Therapy/Support

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, Gross motor skills, Fine motor skills, Self care, Postural management, Splinting

Stacey

Kent, South East of England

Based in Canterbury, Stacey is an expert OT providing assessments and interventions for adults with physical and neurological conditions.

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Profession

Occupational Therapy

Regions covered

South East of England, Kent

Specialisms

Housing and Equipment, Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Visual perception, Self care, Postural management

Tracy

Leeds, West Yorkshire

Specialising in Neurological Rehabilitation, Tracy is an expert OT working across Yorkshire and Lincolnshire.

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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

Zoe

London - North, Hertfordshire

Zoe is an OT specialising in Functional Rehabilitation. She visits clients with physical and neurological conditions across London and Hertfordshire.

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Profession

Occupational Therapy

Regions covered

London, Hertfordshire, London - North

Specialisms

Functional rehabilitation

Specialist skills

PIPs, Routine planning, Daily living skills, Planning & execution, Self care

Samantha

Leeds, West Yorkshire

Trained in advanced sensory integration and therapeutic listening techniques, Sam is an expert Paediatric OT, supporting children and their families.

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Profession

Occupational Therapy

Regions covered

North East England, Yorkshire and Lincolnshire, East Riding of Yorkshire, Greater Manchester, Humberside, Lancashire, North Yorkshire, South Yorkshire, West Yorkshire, Leeds, Sheffield, Bradford, Manchester, Wakefield, Salford

Specialisms

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

Further qualifications

Sensory Integration, Therapeutic listening

Specialist skills

Daily living skills, Community access, Sensory integration, Gross motor skills, Fine motor skills, Behaviour management, Handwriting assessment & treatment, Visual perception, Co-ordination, Planning & execution, Social integration

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