Therapy for a child with CAS involves working on a set of targets through play and fun activities! I focus on the child learning and practicing correct motor movement patterns for the target words. I'm trained in DTTC and PROMPT, so I will use cues and prompts as needed so the child is successfully practicing their targets. Word targets are based on sounds the child can say or are learning, syllable shapes they can say or are learning, and functional/important words for the child (parents are a huge help in brainstorming functional phrases and words for their child!). Once word targets are chosen (usually 3-5 per session) I have several different activities/games in which the targets can be used. I change activities and games while keeping the same word targets so that the child is engaged and having fun! No one wants to sit at the table and just drill words over and over! Often, a child wants to play with a specific toy or game and I weave their target words into those - I've worked with many kids over the years and have gotten really good at coming up with ways to use target words for activities right on the spot! I always have a mirror and sound cue cards available so that the child has all of the support needed to successfully practice the target words over and over! Parents are encouraged to be in the session and to model targets and provide cues (based on input from the clinician) so that they can learn how to carryover the goals to work at home. Once a child is able to say a word successfully in therapy with a prompt or cue their parents can provide, I encourage families to work on the targets for short bits of time many times during the week. If a child also exhibits phonological patterns, I will use an appropriate approach to target those as well (this usually occurs later in therapy after functional words and phrases are learned). Motor learning requires frequent, accurate practicing of targets, and I make sure that happens in therapy!