Therapy for a child with CAS needs to be highly individualized for every client. After a thorough dynamic motor speech assessment and creation of appropriate and functional goals, therapy will include multisensory cues to facilitate the client's speech needs. If CAS is severe enough, we need to consider and implement augmentative and alternative communication in conjunction with targeted oral speech. The best outcomes for children with CAS include early and frequent practice. Family involvement in therapy is crucial. Depending on the level of the child, therapy may begin at the syllable level, but we never target sounds in isolation. Therapy involves specific syllable/word targets to help the child develop and refine planning and execution of speech.