A new way to transition through motherhood. Fully supported.


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Woman Carrying A Baby

Nurturing Development, Empowering Futures:

Tailored Holistic Solutions for postpartum Moms, Infants, Children, and Teens by a neurodevelopmental and sensory Therapist.

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Finding your balance while your body is transitioning after giving birth can be difficult.

Having a therapist who understands mental health and child development on your side can make the transition a little easier.

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Services include:

Ergonomic Home set up

Motor and Sensory Skill Development

Cerebral Palsy and High Tone disorders

Chronic Fatigue Syndrome

Sensory Processing Difficulties for Child, Teen or Mom

Trauma and Mental Health

Torticolis and Plagiocephaly

Visual Impairments and Functional Tasks



Down Syndrome

Teenage Mental Health and Anxiety

Post Surgery Home Set-Up

Nervous and Sensory System Tuning

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Learn how to be more intentional in the health and wellness of you and your baby.

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A Personalized Care Plan for You

Pelvic floor work

Bladder control

Wrist and hand support

Sexual Health

Postpartum support

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Ergonomic Parenting Solutions

and Positioning Strategies

Home set-up



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Developmental Support for

Baby's Growth

Typically developing infants

Neurological impairments

Genetic disorders

Physical disabilities

Birth trauma

For Mom:

How do I hold my baby without my wrists or back hurting?

I want to get back to work, but my body is fatigued, how can I get there more quickly?

I'm scared I won't be a good mom, how do I know if I'm doing the right things?

How do I carry the car seat so it doesn't hurt my back or my arms?

It feels like I always have to pee, and sometimes I end up leaking, what can I do about it?

The idea of having sex with my partner after giving birth is scary, how to I even go about it?

For Baby:

How do I know if my baby is making crucial milestones?

My baby was in the NICU and is home now, how do I provide the best care?

My baby only turns their head one direction, why, and what can I do about it?

What are the safest ways to position my baby for sleeping?

How can I help my baby be less fussy after eating?

What positioners should I use for my baby to build skills and when?

My baby was born with a genetic or physical disorder, how can I best support their needs?

For Child:

How do I know if my child is making developmental markers?

I need help with teaching my toddler how to interact with my infant.

How do I know when my child is ready for potty training?

How do I support my child’s learning at home?

I need help teaching my child autonomy and emotional development.

My child is having meltdowns frequently, what can I do?

My child has a physical disablity and I need help teaching them how to manage tasks at home.

For Teen:

My teen struggles with anxiety in social situations and I don’t know how to help.

My teen and I have been butting heads, I need help learning how to connect.

How do I support my teen the best way when I feel like I don’t understand them?

My teen struggles with self confidence, how can I help them?

How do I help my teen get better sleep?

Contact me now

Let a trained neurodevelopmental occupational therapist be your support.

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Treatment for the whole package;

your body, your child, your home.

Bonding and Play for You and Baby

Learn the importance of bonding with your infant and 5 ways to incorporate it while you are also working on healing yourself.

A Personalized Care Plan for You and Your Child

During our first session, I will do a complete evaluation of physical and self care needs and a developmental screening of your child. Together we will discuss what goals are important to you and develop a plan of care that fits your schedule and timeline. This will guide us through your treatment.

Developmental Strategies for Baby

An assessment by a developmental therapist with neonatal experience that provides continous support of developmental milestones for your typically or delayed infant including sleep strategies, fine and gross motor skills, vision development, and sensory tips for up to the first year.

Infant massage and Sensory Assessment for You and Baby

Learn positioning techniques for your baby to reduce spit ups and fussiness and gentle infant massage to help your baby's digestive system and bonding. Understand how sensory processing needs affect you and your baby and how to incorporate strategies to help you both feel more calm.

Mental and Sexual Well-Being for You

Lets discuss the self care activities that are important to you, the importance of sleep hygiene on mental health, pelvic floor health, bladder health, sexual wellness, postpartum emotions and support systems. Then we will spend dedicated sessions being intentional about your mental and physical well-being that include treatments focused in these areas.

Ergonomic Home Set Up for You

Home set up is often overlooked and therefore causes injury especially after child birth or after a hospital stay. I will provide a home set up guide specific to your space and help you rearrange to make your space more functional for your or your child’s healing body so you can spend more time on the things that matter.

Teen Mental Health, Physical Health, and Self Confidence Building

Whatever your teen is struggling with; anxiety, physical setbacks, executive function delay or decreased confidence, I will work to support them and be your partner in figuring out how to help. Teens have so much on their plates and feel so much pressure, let me help them work through their emotions using activities that bring them joy.

Plans that meet your needs

First session evaluation and care plan 90 minutes 225

This session is a full evaluation of physical and sensory health. We will look at routines and evaluate participation levels in daily activities. We will also set our intentions for therapy, what goals you have and how often we need to see each other.

In home sessions after evaluation 60 minutes 140

After a full evaluation, we will schedule sessions to address the areas that matter most to you and where you have the most concerns. These sessions often focus on 1-2 goal areas.

One Time Consultation with Recommendations 90 minutes 250

This is for the mom and baby or child/teen that have a great support system and resources but want a skilled therapist to come evaluate and provide ergonomic home strategies, strengthening exercises and guide to help the first few weeks or months after baby is home, or for a school age child needing after school or school break help.

Zoom session for established clients 60 minutes 110

Zoom sessions are reserved for established clients that may be having a sick day but still need to strategize through problem areas. I also can treat patients by zoom who live in both Montana and Washington state.

Contact me for a free 20 minute consult

I am an out of network provider with insurances. I can provide a superbill to submit to your insurance on request. Often insurance will reimburse for 50-80% of services. Being an out of network provider allows me to treat the individual needs of each client without restrictions in your home so outcomes are better and faster than if I were restricted to treating one area of dysfunction.

There are Benefits of a Having an Holistic Occupational Therapist by your Side

  • Your baby grows quickly, and as they do, setting intentional goals for development will help your baby stay on track.

  • Working with an occupational therapist can help you get control of a weak bladder, manage pelvic pain, and recover faster from birth while addressing your unique psychosocial needs.

  • Many parents feel they aren't sure if they are "doing enough," leading to added stress and anxiety. Having a skilled therapist with you, in your home, helps to alleviate these fears by addressing concerns when and where you have them.

  • Holistic Occupational Therapy treats the whole person, mind, body, spirit and their environment, making outcomes more attainable and clients feel more understood by their therapist. Creating a trusting relationship with your healthcare provider is key when discussing sensitive topics such as depression, pelvic pain, and sexual health.

  • Posture is key. Good posture can lead to longer term breast feeding potential. Poor posture when lifting, carrying and bending can lead to long term injuries.

  • Occupational therapists are masters at using functional therapy, showing you ways to incorporate strategies throughout your day during tasks you are already doing or want to do.

We don't often realize how the habits we develop in the the first year after giving birth affect us;

good or bad, they can last a lifetime.

In Person: Serving Whitefish, Columbia Falls, Kalispell and Bigfork, Montana

Telehealth: Serving Montana and Washington

Call or text 406-290-9373 for more info or to schedule a visit


Fill out the form below and I will get in touch with you as soon as possible

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Heidi Vladyka Fletcher MOTR L C NDT
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Some light reading and other resources

Distinguising Occupational Therapy's Role in Transition to Motherhood

The Intentional OT Printables-Copyrighted