Written by Agata Boxe | Last updated Jan. 5, 2026

As Parkinson’s disease progresses, your daily routines and support needs may evolve. You may notice new difficulties with movement, thinking, or completing familiar tasks. In advanced stages, you may find yourself relying more on your caregivers for help.

A personalized occupational therapy plan can meet you where you are. By taking a goal-oriented approach, occupational therapy can complement advanced Parkinson’s disease treatment and give you practical ways to stay safe, maintain independence, and manage changes in your abilities over time.

How occupational therapy can help

Occupational therapists can suggest ways to adapt your daily activities — from getting out of bed to making dinner — and manage symptoms of advanced Parkinson’s.

“We really look at the person, the environment, and the occupations — the activities that we need to do every day,” says Joni Kamiya, an occupational therapist based in Oahu, Hawaii.

With advanced Parkinson’s, you may face multiple issues, she says, so the focus of occupational therapy should be on finding ways to support your overall functioning.

Read more here: Occupational therapy and advanced Parkinson’s: What to expect