I will determine the frequency and intensity of speech therapy based upon the severity of their motor speech disorder, their ability to tolerate treatment and their willingness to participate in therapy. I will select goals based upon their current phonetic repertoire, phonetic contexts in which they produce sounds (v, vc, cv, cvcv, cvc, etc.), and their level of coordinated motor movements (respiration, phonation, mandibular, labial, lingua, etc). I use an approach that includes tactile, visual, and verbal prompts. Within each therapy session my goal is to elicit/prompt frequent production of target phonemes in specific phonetic contexts (cv, vc, cvc, etc.). My target sounds/words are selected based upon sounds/words that will provide the most functional and meaningful outcomes for the client and his/her family. Often times, I include picture communication and/or sign language within my treatment sessions to provide my clients with functional communication strategies that reinforce their communication attempts and help them to feel successful in communicating to get their needs met within the activities of daily living.