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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

Robert

Brighton, West Sussex

Qualifying in 2002, Robert specialises in paediatrics, as well as adult rehabilitation. He completed a Professional Doctorate in 2013.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

Counselling, Behaviour management, School Based Therapy/Support, Sign Language, Anxiety management & relaxation, Sensory attachment intervention

Caroline

Kent, South East of England

Caroline is an expert occupational therapist, specialising in neurological, functional and vocational rehabilitation, as well as housing & equipment.

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Profession

Occupational Therapy

Regions covered

South East of England, East Sussex, Kent

Specialisms

Housing and Equipment, Vocational Rehabilitation, Functional rehabilitation

Specialist skills

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

Victoria

Bedfordshire, East Anglia

Based in Bedfordshire, Victoria is an expert neurological occupational therapist having completed a postgraduate diploma in Neuro-Rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Anglia, London, South East of England, Bedfordshire, Buckinghamshire, Cambridgeshire, Northamptonshire, Oxfordshire, London - Central, London - North, London - East, London - West

Specialisms

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

Further qualifications

Train the trainer

Annie

West Sussex, South East of England

Annie is an expert occupational therapist specialising in neurology working with clients in their own homes in the south east.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

Functional rehabilitation, Neurological rehabilitation

Specialist skills

Fatigue management, Routine planning, Daily living skills, Visual perception, Planning & execution, Self care, Wheelchair accreditation

Kate Louise

Newcastle upon Tyne, Tyne and Wear

Working in the North of England, Kate provides expert assessments and treatment plans to clients to help them gain independence.

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Profession

Occupational Therapy

Regions covered

North West England, North East England, Cleveland, Cumbria, Durham, Northumberland, Tyne and Wear

Specialisms

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

Specialist skills

DFG Assessments, Postural managemen

Sinead

Leicester, West Midlands

Working across Northamptonshire, Sinead provides expert Occupational Therapy in the areas of Neurological Rehabilitation and Vocational Rehabilitation.

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Profession

Occupational Therapy

Regions covered

East Midlands, Bedfordshire, Buckinghamshire, Cambridgeshire, Hertfordshire, Leicestershire, Northamptonshire, Warwickshire, West Midlands

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

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

Joanne

Manchester, Greater Manchester

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

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Profession

Occupational Therapy

Regions covered

North West England, Greater Manchester, Manchester

Specialisms

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

Gaynor

Leicester, Warwickshire

A highly skilled occupational therapist, Gaynor provides expert neurological, vocational and functional rehabilitation to clients in the East Midlands.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Leicestershire, Lincolnshire, Northamptonshire, Nottinghamshire, Rutland, Warwickshire, London - North, Nottingham, Leicester

Specialisms

Paediatrics, Vocational Rehabilitation, Functional rehabilitation, Neurological rehabilitation

Further qualifications

BOBATH

Specialist skills

Fatigue management, Motivational issues, Routine planning, Community access, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Co-ordination, Planning & execution, Self care, Wheelchair accreditation, Anxiety management & relaxation

Lena

Belfast, Tyrone

Lena is an expert Occupational Therapist in the areas of Neurology and brain injuries, working with clients across Northern Ireland.

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Further qualifications

BOBATH

Specialist skills

Motivational interviewing, DFG Assessments, Fatigue management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Planning & execution, Self care, Social integration, Postural managemen, Anxiety management & relaxation

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

Fiona

Birmingham, Staffordshire

Based in Staffordshire, Fiona provides occupational therapy to adults and children, specialising in moving & handling and housing & equipment.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, Derbyshire, Leicestershire, Shropshire, Staffordshire, Warwickshire, West Midlands, Birmingham, Coventry, Nottingham, Leicester, Stoke-on-Trent, Wolverhampton, Derby

Specialisms

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

Further qualifications

Train the trainer

Specialist skills

Motivational interviewing, DFG Assessments, Daily living skills, Anxiety management & relaxation

Jane

Wiltshire, South East of England

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Emma

Hertfordshire, South East of England

Emma is a well regarded Occupational Therapist specialising in Rehabilitation. She covers the South East and London.

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Profession

Occupational Therapy

Regions covered

London, South of England, Bedfordshire, Buckinghamshire, Hertfordshire

Specialisms

Vocational Rehabilitation, Functional rehabilitation, Moving and Handling, Neurological rehabilitation

Specialist skills

Motivational interviewing, Blue Badges / Mobility Assessments, Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Balance, Co-ordination, Self care, Anxiety management & relaxation

Jacqueline

London - Central, Middlesex

Based in London, Jacqueline provides expert paediatric therapy helping children with handwriting, sensory processing and specialist seating needs.

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Profession

Occupational Therapy

Regions covered

London, South East of England, Hertfordshire, Middlesex, London - Central

Specialisms

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

Further qualifications

Sensory Integration, BOBATH

Emily

Bristol, Newport

Qualifying in 2009, Emily is a dedicated Occupational Therapist (OT) with a strong commitment to providing quality care.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Bristol, Gloucestershire, Somerset, Wiltshire, Worcestershire, Cardiff, Newport

Specialisms

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

Specialist skills

DFG Assessments, Daily living skills, Community access, Gross motor skills, Self care, Postural managemen

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

Denise

Liverpool, Wrexham

Qualifying in 1992, Denise specialises in rehabilitation, moving & handling and seating & postural management for adults.

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Profession

Occupational Therapy

Regions covered

North West England, Wales, Cheshire, Greater Manchester, Lancashire, Merseyside, Wrexham

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, Blue Badges / Mobility Assessments, PIPs, Daily living skills, Community access, Self care

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

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

Louisa

Bristol, Newport

Specialising in rehabilitation, Louisa provides expert occupational therapy to clients across south west England and the south of Wales.

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Profession

Occupational Therapy

Regions covered

West and South West of England, Wales, Avon, Bristol, Gloucestershire, Somerset, Wiltshire, Cardiff, Newport, Bristol, Cardiff

Specialisms

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

Specialist skills

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

Ebby

Glasgow, West Lothian

Having worked internationally, Ebby provides expert occupational therapy helping adults with functional and neurological rehabilitation at home.

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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

Carolyn

Southampton, Hampshire

Working across Berkshire, Hampshire and London, Carolyn specialises in Neurological and Functional Rehabilitation and is an expert in her field.

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Profession

Occupational Therapy

Regions covered

South of England, Berkshire, Hampshire, London - South, London - West, Southampton

Specialisms

Functional rehabilitation, Neurological rehabilitation

Further qualifications

AMPS

Specialist skills

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

Carly

Perthshire and Kinross, Scotland

Based in Scotland, Carly specialises in paediatric occupational therapy. She has completed further sensory integration qualifications.

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Profession

Occupational Therapy

Regions covered

North West England, Scotland, Borders, Perthshire and Kinross, Renfrewshire, South Ayrshire, South Lanarkshire

Specialisms

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

Further qualifications

Sensory Integration

Specialist skills

Daily living skills, Community access, Gross motor skills, Fine motor skills, Handwriting assessment & treatment, Co-ordination

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

Laura

Warwickshire, South East of England

Trained in advanced postural management and rehabilitation techniques, Laura provides expert occupational therapy to clients at home.

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Profession

Occupational Therapy

Regions covered

West Midlands, East Midlands, London, South of England, South East of England, Berkshire, Buckinghamshire, Gloucestershire, Hampshire, Hertfordshire, Middlesex, Northamptonshire, Oxfordshire, Surrey, Warwickshire

Specialisms

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

Further qualifications

AMPS

Specialist skills

Fatigue management, Daily living skills, Gross motor skills, Fine motor skills, Behaviour management, Visual perception, Planning & execution, Self care

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

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, Fatigue management, Daily living skills, Self care, Postural managemen

Jura

London - East, London

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

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Profession

Occupational Therapy

Regions covered

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

Specialisms

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

Specialist skills

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

Morag

Edinburgh, Edinburgh (City of)

An expert occupational therapist based in Edinburgh, Morag specialises in rehabilitation, moving & handling and housing & equipment.

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Profession

Occupational Therapy

Regions covered

Scotland, Borders, Clackmannan, East Lothian, Edinburgh (City of), Falkirk, Fife, Midlothian, Perthshire and Kinross, West Lothian, Edinburgh

Specialisms

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

Specialist skills

Fatigue management, Pain management, Routine planning, Daily living skills, Community access, Gross motor skills, Fine motor skills, Visual perception, Balance, Co-ordination, Planning & execution, Self care, Postural managemen, Anxiety management & relaxation

Amie

Bristol, Somerset

Amie is a highly experienced Occupational Therapist specialising in Neuro-Rehabilitation covering the Somerset, Bath & Bristol and West Wiltshire areas.

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Profession

Occupational Therapy

Regions covered

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

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 managemen

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