Meet
Hayley Chrzastowski, OTD, OTR/L
Founder & Occupational Therapist
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Hayley obtained her Bachelor of Science in Psychology from Kentucky Wesleyan College and her Doctorate in Occupational Therapy from Washington University School of Medicine in St. Louis, MO. She completed her research studying the benefits of breastmilk for premature infants at WashU under the mentorship of Dr. Bobbi Pineda, PhD, OTR/L, CNT. As part of her doctoral degree, she created a model of occupational therapy for maternal and infant healthcare to bridge the gap between the medicalized method of prenatal/postpartum care and more holistic practices. In 2015 she worked in Nairobi, Kenya creating NICU programs/policies for a new children’s hospital. She has also worked in various cities/villages in Guatemala providing occupational therapy services to those in need. Hayley is deeply invested in integrating her international experiences with her everyday practice to bring a global perspective to caring for a diverse population. She settled in Fredericksburg, VA in 2016 and has spent the past 5 years identifying the maternal and infant healthcare needs within the community. She created WILD OT to enhance the care women and infants receive, educate and provide resources, and empower women to be active participants in the care they desperately deserve.
My Philosophy
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Provide honest, compassionate, non-judgmental, open-minded, and understandable care that is applicable to everyday life and daily activities.
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Kind Words
“As women, we all desire for the ultimate birthing experience while being provided the ultimate care, both during and after pregnancy. With Hayley’s knowledge, professionalism, and positive personal energy, the experience of becoming a mother is valued and cherished. Hayley’s dedication to each individual she encounters is admirable. Without a doubt, Hayley can help to ease your anxious thoughts during one of the greatest moments of your life, while providing the education you need to care for both yourself and your baby.”
-Olivia
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“I cannot recommend Dr. C enough! She was the doula for my first born child -- born in a hospital via a "least interventions necessary" scheduled induction because of my health history. Dr. C was incredibly knowledgeable about both the female body and unborn fetus, in addition to optimal positions, natural labor inducing techniques, breathing, and general stress reduction. She simultaneously coached my husband on how to be the best support partner possible -- no small feat considering his general fear of hospitals and all things medical. Dr. C was all around thorough, respectful and a HUGE addition to our birthing team. We could not have done it without her!“
-Tess
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“If I could sum things up in just a few words they would be: Hayley is AMAZING! Me & my (at the time) 3 month old baby took an infant massage course with her. I would 100% recommend the infant massage course for any new mom or dad. Hayley taught me so much about my baby & how to bond with her through infant massage. The course material was engaging & Hayley conveyed the material extremely effectively making sure everyone in the class understood & were comfortable with the massage techniques. Hayley also answered any & all questions, even if they weren’t related to infant massage. My baby is now 8 months old & I am still using the massage techniques that Hayley taught me to soothe, relax, and bond with my growing baby! I would welcome the opportunity to work with Hayley again in any capacity, she is professional while also down to earth and caring about your individual situation. She truly is passionate about what she does & that comes across so strongly in any interaction you have with her!“
-Katlyn
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”Hayley was influential in the successful arrival of our baby girl this past June. As our doula she was there every step of the way through our pregnancy, providing resources for both my spouse and myself to educate ourselves about ALL the things. She was available to answer our millions of questions in attempts to create an unmedicated and minimal intervention birth plan. Above everything else she was with us, in the hospital, when our birth plan had to make some adjustments. She was there to encourage us when we had to make some decisions on induction, being that my waters broke first. She was able to promote a peaceful environment with essential oils, utilizing the tub to labor in, using physical touch to help with facial and shoulder relaxation during contractions, and guiding my husband with counter pressure techniques. Hayley has continued to follow up with us post-partum to answer the many questions about breastfeeding and to just check in during this time where our lives have drastically changed. It would be the ultimate understatement to say we would not have been able to have such an amazing experience and truly beautiful birth if it was not for her knowledge and presence. Thank you Hayley for EVERYTHING!”
-Casey
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“Hayley's knowledge and passion is what sets her apart. She cares for and equips mothers as they uniquely experience how pregnancy and postpartum changes their bodies. Hayley is also skilled in the care of infants and children. Her knowledge of both populations across the lifespan makes her an invaluable service provider. She makes you feel at ease and carefully incorporates your input into your care. If you are on the fence, reach out and call her!“
-Macy
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Kind Words
“Hayley provided Doula services for my Labor and Delivery at the very last minute when my previous doula and needed surgery. We decided on a homebirth late into my 3rd trimester and needed that extra support and guidance to help us through. I was very anxious and nervous. She was absolutely phenomenal, a gentle soul that made myself and my husband so calm and relaxed throughout the labor, incredible technique that helped ease my pain level with contractions. She made sure to stay by my side the entire time to keep the support and words of encouragement going at all times. She made our homebirth incredible and I’ll never forget her loving touch and words. I can’t recommend Hayley enough to families looking for Doula services.”
-Ashley
Frequently Asked Questions
Do you take insurance?
We are no longer in-network with any insurance company. This was a very tough decision for our practice. Ultimately, we were facing many obstacles with insurance that was greatly impeding the quality of care we were able to provide to our clients. In order to remain an active and sustainable practice in the area we had to terminate our insurance contracts. Since we are no longer billing through insurance we have a greater amount of flexibility with the structure of our sessions, what we can treat, how long we can spend together, and how often we meet. We are hoping with this change we will actually be able to improve the care that our clients receive.
Do you have out-of-pocket prices?
As a result of our recent practice changes, all of our fees are now out-of-pocket. We did extensive market research to ensure that these prices were in-line with other out-of-pocket prices in this area. At the end of our session, we can provide you with a SuperBill which you can then submit to your insurance company for reimbursement. Often insurance companies will reimburse you for a portion of or all of the treatment expenses. We also offer reduced rates for Medicare/Medicaid card holders to ensure that we remain accessible to all members of the community.
How do I schedule an appointment?
You can use the link under the “scheduling” tab to schedule an appointment through our online calendar. Search for available days/times for different types of therapy. You can also, call and/or text our office phone line to set up an appointment.
How do I know if you can treat my symptoms?
Sometimes it is hard to know if we are the right fit for you and/or your child and the symptoms that you might be experiencing. For that reason, we offer a free 15-minute discovery phone call to determine if we can help with your individual needs. Don’t hesitate to reach out! Also, check out our “services” page to learn more about what we offer and how we might be able to serve you.
When should I consider pelvic floor therapy?
Pelvic floor therapy can be immensely beneficial before, during, and after pregnancy. There are many physical concerns that can necessitate pelvic floor therapy such as painful sex, painful insertion of tampons, urinary/fecal leakage, etc. that someone might experience even before they have ever had a baby. Then, pregnancy and postpartum can potentially exacerbate these issues and/or make new issues arise. It is never too early or too late to seek help from an educated, skilled, and compassionate pelvic floor therapist!
You work with both moms and babies?
Yes! Our model of practice encompasses both the woman and her child. We see the two as inseparable. When we are working with either the woman or her child we are simultaneously working to help the other. Our therapist was initially trained with premature infants and has since gone on to gain more training and education to support the woman as well. Our therapist was initially trained with premature infants and has since gone on to gain additional training and education to support the woman as well in an attempt to provide well-rounded, holistic services.
I have worked with a lactation consultant, should I still come see an OT as well?
At WILD we truly value the expertise and knowledge of a lactation consultant. Our therapist is not here to take the place of a lactation consultant, but instead, to join your team. Our OT might be able to provide additional bodywork knowledge for you and/or your infant, as well as oral motor strengthening activities that your little one might need to have successful feeds at the bottle and/or breast.