Sessions with the children I see with CAS include initially building trust and rapport. I work with parents and the child to select a list of target words that are functional, motivating, and will allow for the most progress such as words with different syllable shapes, vowels, and consonants. Usually I will start with 3 to 5 of those targets to work on, depending on the severity of the child's CAS. I keep data to determine when to remove a word from the session targets and add a new one. I generally do not have any toys or games down during practices, but I allow for breaks when needed. Initially, we practice saying the target words together with emphasis on the child watching my mouth and movements. I continue to fade the cues and feedback I give the child as they become more successful with the goal being the child producing the target word by themself. We usually will play with a toy or game of their choosing at the ending of their sessions to keep things fun and enjoyable for them. I try to incorporate target words they are able to produce spontaneously in the play, so they get additional practice with generalizing those targets.