I use the DTTC approach in combination with play-based therapy. I believe that children should be excited about their own progress and that means we need to pick target words that include core words that can be used across several contexts, but also personal fringe words/power words that are important to each individual child. Activities should be motivating, but not take away a child's attention from speech production. Parent education and facilitation of productions is extremely important. Therapists should serve as coaches for parents, rather than having parents watch from the side lines. Depending on the severity of CAS, I also advocate for low and high tech AAC options and work to remove the stigma around their use.