Frequently Asked Questions

Fatigue can present in many ways and have many causes. We have worked with people with long COVID, chronic fatigue syndrome (ME/CFS), post-viral fatigue, menopause, work-related and autistic burnout, fibromyalgia, and other conditions where fatigue is one of the associated symptoms. We also understand that fatigue is complex and doesn’t always come with a neat diagnosis nor fit into one category. You might not be sure why you're experiencing these symptoms, or there might be multiple overlapping factors.

We welcome and work with people from a wide range of backgrounds, including those from global majority communities, LGBTQ+ communities, people with disabilities, and others who may have experienced discrimination or barriers in accessing healthcare. We recognise how these experiences can affect health, identity, and wellbeing, and we aim to offer a service that is respectful, inclusive, and trauma-informed.

It’s completely understandable to feel unsure about where to start. If you're living with persistent fatigue, both occupational therapy and cognitive behavioural psychotherapy can offer support in different but complementary ways. You might find it helpful to look at the approach page and watch some of the videos to get a feel for our different areas of expertise.

If you're not sure, our free discovery call is a great opportunity to talk it through. We can help you explore your experience and goals for therapy, and decide together on the most helpful starting point. Sometimes, people find it helpful to start with one clinician and then see the other later on, depending on how their needs evolve over time. We work closely together and aim to offer flexible, coordinated support.

We usually start with a check in, and this may guide what we will focus on during the session. Reflecting on a recent success or challenge can be helpful as it gives us the opportunity to reinforce or develop a fatigue management strategy. I often share a visual resource to introduce or expand upon a concept such as using body sensations as signals, adjusting activities or routines to be more sustainable, or developing a gradual return to work plan. We may make links between things we discussed in previous sessions as I find that the ideas interlink and help to build a holistic approach. In the last few minutes, we will make a plan for the next session and may identify an action you can try out between sessions based on what’s important to you. To help manage your fatigue, we can take a short break or a mindful pause to support you to participate in the session. If you are finding the length of the session depleting, we can discuss adjustments to support your participation.

CBT sessions help you explore how thoughts, feelings, behaviours, and physical symptoms are connected. We start with a check-in and agree on a focus for the session, based on your current needs.You may be supported to understand patterns that keep you stuck and gently explore new ways of responding. We often suggest strategies or reflections to try between sessions. Sessions are collaborative and flexible, with breaks if needed. Your personal goals and formulation guide the work, helping you move forward with more clarity and confidence.

Yes – this is a life area we are particularly passionate about. We understand that work can play an important role in your life, whether it’s part of your identity, for financial stability, or for social connection. Living with fatigue can make staying in or returning to work especially challenging. We can support you in creating a personalised work plan. This might include exploring reasonable adjustments, planning a flexible and manageable return-to-work schedule, and discussing how to approach conversations with your employer and occupational health. We also offer healthcare supporting letters (for an additional fee), which may be useful in some situations. Beyond the workplace itself, we can help you think through how to balance work with other responsibilities in your life. While work can be meaningful, purposeful, or financially necessary, it can also place demands on our health and well-being in ways we don’t always recognise. Part of our work together may involve gently exploring how your current work situation is affecting you—and whether it continues to support your health and values, or if some adjustments or changes might be helpful.

While we don’t make diagnoses, we can support you in making sense of a diagnosis and in considering whether pursuing one is helpful. Diagnosing fatigue-related conditions can be complex due to various contributing factors. We recommend that you first consult your GP or a medical professional to consider any necessary investigations and potential treatments. Guidelines, like those from NICE, help medical professionals make informed decisions about your care. Some people find a diagnosis such as long COVID, chronic fatigue syndrome (ME/CFS), fibromyalgia, ADHD, or autism validating. Others may not find a label helpful. Whether or not you have a diagnosis, we understand your fatigue is real and affecting your ability to do the things you care about. Our focus is on looking at how your symptoms impact your daily life, and collaboratively explore ways to increase your engagement.

Sessions are 50 minutes long. We usually recommend meeting weekly or every other week at the start, to help build momentum and support. As we get a better sense of your individual needs and pace, we can decide together on the session intervals that work best for you—whether that means continuing regularly or spacing sessions out to give you time to reflect and practice between meetings.

We are unable to provide advice or urgent support in between sessions. If you need medical support please contact your GP, A & E, or crisis numbers for mental health support .We are able to respond to questions about appointments, invoices, and other practical issues between sessions but please note that our administrative time is limited.

We understand that things can come up, especially when symptoms fluctuate. There may be times when it feels not possible to attend a session. If that happens, cancelling might be the most helpful choice—and that's okay. That said, we can also adapt sessions to meet your needs. This might include taking breaks, keeping the camera off, or adjusting the pace. If you do need to cancel, please let us know as soon as you can. Appointments cancelled with less than 24 hours’ notice will be charged in full.

• 15 minute discovery call - Free
• 60 minute initial consultation - £125
• 50 minute follow-up sessions- £110

Payment is taken when you book in for a session.