A thorough evaluation helps determine if CAS or suspected CAS is appropriate diagnosis. Involvement of other factors considered such as sensory-motor differences, tongue tie/lip tie, or feeding difficulties. Therapy recommended 2-3x per week for most kiddos. We often start with sounds and word shapes kids already have. Working with parents, we pick out a set of highly functional words or word approximations for 2-3 different play activities and work to get at least 60-100 productions of those targets during the session. Use PROMPT and other cues to facilitate oral placements. We will consider augmentative communication early in the treatment process, both low and high-tech, to support language goals and reduce frustration.