D has learning difficulties,Published 01/03/2017dyspraxia, cerebellar ataxia, and uses a frame around the house and a wheelchair when outside. She has asthma and depression, for which she takes medication. She feared falling over and thus limited her attempts at self-mobility. Psychesoma’s evidence-based programme of rehabilitation is focused on increasing socialisation and improving her balance and coordination. D has been responding and engaging well in group fitness sessions, showing greater confidence, enjoying herself and vocalising that enjoyment. She continues to take encouragement and to increase her interaction with her house mates and to join in activities. Psychesoma has received positive feedback from the care team and her relatives regarding her levels of social interaction and her gross motor skills.