Occupational therapists (OTs) work collaboratively with clients to obtain 'occupational balance,' which is defined as a state of mind, recognizable by a pleasant combination of life activities and demands. If demands are too great and outweigh the ability to complete activities, an individual is considered to be in a state of occupational imbalance. Occupational therapists work with people with arthritis through various service methods, including physical, functional, environmental, social and psychological. A primary focus for occupational therapists and their clients is self-management education. Many people diagnosed with arthritis emphasize the frustration resulting from pain and fatigue, which leads to difficulty performing daily roles and activities. Living with arthritis that causes chronic pain can make it difficult to adapt to life roles, such as being a mother or father, and which can ultimately lead to emotional feelings such as stress and anger. Being unable to complete key life roles can also impact relationships with friends and family. Occupational therapists use interventions such as: protecting a joint using an orthosis to maintain and improving limb function; assistive devices; fatigue management strategies to conserve energy; activity and environmental modifications; mobility and transportation assessment; education and resource advice; and skills training for mood and pain management, and many more. Occupational therapists aim to improve a person's ability to perform daily occupations. Occupational therapists work with clients to minimize any disruptions that arthritis may be causing in their day-to-day life and prevent possible loss of function. For more information about occupational therapy and arthritis, contact occupational therapists with expertise in arthritis. Reference: Yasuda, Y. Lynn. Occupational Therapy Practice Guidelines for Adults with Rheumatoid Arthritis. American Occupational Therapy Association, 2001.