My focus is on the movement of speech. For example, the sound “ahhhh” is about opening the mouth, and “bat” is about opening going from a closed mouth to an open mouth and back to a closed mouth. Speech therapy is not about “the sound,” but more about the movement and movement patterns because apraxia is difficulty with the planning and/or programming of movement sequences. I work through a hierarchy. I will tell your child to say something together with me and then vary the prosody (saying “bottle” together with me and then saying “bottle” together with me in an angry, sad, and excited voice). Once they have achieved this, I will have them copy me after a pause. Finally, we move on to spontaneous production. I will often use varying cues during my sessions including gestures (like big hands for opening mouth), verbal, visual, and tactile cues. I keep track of which words are in what stages of therapy so for example, I will note that the word “bottle” your child can only say with me but hasn’t mastered it throughout the rest. My goal is to elicit a large number of practice trials. I give varying types of feedback throughout my session including feedback right after the production, and delayed feedback.