My therapy for a child with CAS changes over time and varies with severity and progress. Of course, my approach will be individualized for your child and will consider their specific needs. Therapy is based on the principles of motor learning, focusing on movement and the transitions between sounds, syllables, and words rather than individual speech sounds. Typically, therapy will start with an assessment of speech and language skills, including a dynamic assessment of their motor speech abilities. Early in treatment and when the apraxia is severe, sessions are more frequent and often shorter in length, depending on your child’s ability to attend and imitate. Together, we will select a small set of targeted words that are functional and motivating, keeping in mind what the child can already produce. Our goal will be a high number of repetitions giving support and feedback. As the characteristics of apraxia diminish, a more traditional approach may be introduced to minimize any lingering speech sound errors.