I work with preschoolers who have CAS. I work closely with parents/caregivers; they participate during the sessions. It is not uncommon for children with CAS to feel frustrated and I often see issues with confidence. It is usually important to establish functional communication to decrease frustration. It may be necessary to use some form of augmentative communication like sign language or picture communication. I build upon what the child can do or say. I also keep in mind the child's language and literacy development. For example, I will choose targets based upon the child's sound inventory and environment. It is important for the child to practice saying words that are meaningful. Here is my overall approach1. I use the Kaufman Method • Using this method, child learns to say simpler forms of words (e.g., “wa-wa” for water).• Using this approach, the adult repeats the word correctly (e.g., “Ok, I will get you water).• As motor-speech coordination improves, the child learns to say the words more appropriately. • This teaching method is based upon normal phonological development. Most children naturally simplify words but children with speech praxis difficulties need to be taught the simplifications. Children gradually learn to say words of increasing complexity.2. I use Sensory Cues for speech sounds because feedback is an important aspect of motor learning. For example, we might cue the “oo” by squeezing our cheeks. 3. I use pictures and sentence strips to help students sequence speech movements as well as language development (vocabulary/grammar). For example, I try to use noun-verb targets so the child learns sentence grammar.3. I use tactile cues (e.g., clapping out or patting out syllables) to help children notice the syllables in words.4. We (with parents/caregivers) incorporate "sing song" speech and singing games (“wheels on the bus”, “happy and you know it”) because this helps speech become more automatic for children with speech praxis difficulties.5. I also continue work on phonological awareness skills (I use Wilson Fundations)