My therapy changes over time with families as a child grows and both the child and parent become more comfortable in practicing speech. For younger children I work from play-based to structured sessions moving from reviewing home support strategies to direct speech/motor work over time. My sessions are child focused: I incorporate a child’s interests and motivators into choices of activities and target goal words. Gaining rapport and understanding the child and their interests allows us to create realistic/relevant and achievable goals. My sessions remain positive! I shift the focus as needed to decrease frustration while meeting success in a session. I use a variety of multi-modal cuing, including tactile cues, varying my speech rate, and using visual and verbal modeling to support a child’s acquisition of motor plans for speech. I Include repetition and provide clear/specific feedback throughout the therapy session. I encourage use of gestures and other means of communication, alongside our speech goals to help support overall communication.