Building your child's confidence and motivation by establishing trust and making activities fun and engaging is the critical first step to my service. Dynamic Temporal and Tactile Cueing (DTTC) is used during assessment and treatment to provide the necessary levels and types of cues that are necessary for the child to be successful. A multi-modal communication environment, using visuals and AAC equipment, supports communication success and reduces/eliminates breakdowns. Collaboration with parents is key. We create a meaningful target list of words and phrases that are organized according to the child's treatment plan. I sit at, or just below, eye level and limit distractions so the child can focus on the shape of words on the mouth. The treatment plan is backed by research in that a high amount of practice has a bigger impact on your child's progress and outcomes. Data collection at set intervals instead of at every session keeps the focus on the treatment and the maintaining the positive relationship.