Areas of Occupational Therapy Support

Adult-focused assessment and rehabilitation for neurological, cognitive, functional and vocational difficulties.

Make a self or family enquiry

We focus on occupational impact—not simply a diagnosis

Two people with the same condition may experience very different barriers. An occupational therapy assessment considers what a person needs and wants to do, the environment in which it happens, and the physical, cognitive, emotional and social factors affecting participation.

The examples below describe common referral areas rather than a guarantee that every presentation will be accepted. Suitability is confirmed following an initial discussion.

Neurological conditions and acquired brain injury

  • Stroke
  • Traumatic or acquired brain injury
  • Concussion and persistent post-concussion symptoms
  • Multiple sclerosis
  • Parkinson’s disease
  • Functional neurological disorder
  • Progressive or other acquired neurological conditions

Input may address daily activity, cognition, fatigue, risk, routines, community access, relationships, leisure or work.

Occupational therapist carrying out a one-to-one functional assessment
Professional discussing functional needs and occupational therapy recommendations

Cognitive, fatigue and executive-function difficulties

  • Memory and new learning
  • Attention and processing speed
  • Planning, organisation and task initiation
  • Problem solving and safety awareness
  • Brain fog and cognitive fatigue
  • Sleep, pacing and reduced stamina
  • Maintaining consistent routines

Home and daily living

Personal care, cooking, household tasks, medication routines, safety, equipment and environmental barriers.

Community and participation

Shopping, transport, route finding, leisure, social roles, confidence, risk management and community independence.

Education and work

Functional demands, adjustments, activity tolerance, communication, vocational goals and sustainable return-to-work planning.

Other complex functional needs

Enquiries relating to long-term health conditions, physical disability, complex trauma, hospital deconditioning or neurodivergent adults may be considered when the occupational question is within current competence and service capacity. ProActive Therapy does not currently provide a routine paediatric service, hands-on musculoskeletal treatment or acupuncture.

Where another service would be more appropriate, we will explain this and signpost where possible.