My overall approach is to first help each child feel comfortable in session and become willing to trust me; in that way they are able to begin taking risks in attempting something they already know is difficult for them. For younger children, working speech production into play is great, then I move as quickly as I can into multiple repetitions of target words or phrases. The target words or phrases are developed with information obtained during dynamic assessment (knowing what syllable shapes the child can produce and moving toward additional shapes the child can have success with) and parent input for words or phrases that are of high functional use for the family. The key is to make it fun while working toward getting as many productions as possible during a session (to improve motor learning). It is also important to use a variety of prompts to make each child successful in saying something as soon as possible, which also improves their motivation to make attempts at speech. If the child is minimally verbal, I start with imitation of large and small motor movements, then work toward speech movements. In addition, parents are present and participate in each session, so they can help support their child in the session and reinforce therapy activities at home when appropriate.