My therapy for children with CAS is built on three things: strong relationships, evidence-based methods, and lots of meaningful practice. First, I focus on building trust so your child feels comfortable, supported, and motivated. I incorporate activities that are play-based and fun, but also functional. We start with a small set of “power words,” such as names, favorite toys, or everyday phrases that matter most to your child. This ensures that progress is motivating and immediately useful outside of the therapy room. I implement evidence-based, motor speech approaches, such as Dynamic Temporal and Tactile Cueing (DTTC) and Rapid Syllable Transition Treatment (ReST), and other motor-based strategies as appropriate for the child’s age, skill level, and responsiveness.

Therapy involves frequent, high-quality practice with lots of repetitions, gradually moving from structured practice to more natural, varied situations as your child improves. I use multiple types of support (e.g., visual, verbal, tactile, and gestural cues) to help your child plan and produce sounds and syllable shapes. Over time, I carefully fade my support to build independence and self-monitoring. Ultimately, my goal is for children with CAS to develop clear, confident, and functional communication skills in a way that feels motivating, achievable, and empowering for both the child and their family.