I have been trained in the Dynamic Temporal and Tactile Cueing (DTTC) Approach, which is an evidenced-based treatment for patients with suspected and confirmed CAS. Through this approach, we do intensive movement practice with a small number of highly motivating target words. DTTC is a motor-based treatment involving focused practice with lots of repetition, in addition to varying the prosody and volume of each target. In order to keep the child motivated, I work with the parent to select target words related to the child’s interests, names of family members, and daily activities, taking into account the child’s age. These words are practiced intensively over the course of the session through a cueing hierarchy, which involves saying the word together, slowing the rate, and providing feedback and cues to help the child be successful. Mastered targets are moved to a generalization list and are randomly targeted to maintain progress and carryover as new targets are added to direct practice. Movement is very important for children. I like to start and end treatment sessions with gross motor movement and sensory activities in the gym. This helps to meet the child’s sensory needs and provides input to help the child to focus and maintain attention for the structured practice portion of the session. These breaks can also be incorporated throughout the session, if needed, based on the child’s individual needs. In addition, motivating and fun, yet quick, reinforcement activities are incorporated throughout practice to help maintain attention and make therapy fun and engaging. Speech therapy sessions at our clinic are typically 45 minutes in length.