We frequently incorporate both low-tech and high-tech AAC (Augmentative and Alternative Communication) supports for children with Childhood Apraxia of Speech (CAS) to help reduce frustration, support language development, and give children a reliable way to communicate while their speech skills are developing. Low-tech AAC may include picture boards, visual supports, communication books, choice boards, gestures, signs, or core vocabulary boards. These tools can be easily embedded into everyday routines such as snack time, play, reading, dressing, and community outings. We often personalize these supports using real photos, favorite toys, family members, preferred foods, emotions, and familiar activities to make communication meaningful and motivating for the child. We also support families in exploring high-tech AAC options such as speech-generating devices or communication apps on tablets and iPads. These systems allow children to select words or pictures that speak aloud for them and can be incredibly empowering for children who know what they want to say but are unable to communicate it clearly with speech alone. AAC is never viewed as “giving up on speech.” In fact, research consistently shows that AAC supports language growth, communication confidence, social participation, and often speech development itself. For many children with CAS, AAC provides a bridge to successful communication while motor speech skills are still emerging. It also allows children to participate more fully in relationships, play, learning, and everyday life. Our approach is always individualized. Some children may benefit from temporary AAC supports, while others may continue using AAC alongside spoken language long-term. Our goal is always to help children feel understood, successful, and confident communicating in whatever way works best for them.