My general therapeutic process starts with finding out all about the child and their interactions with their family and trusted friends/teachers, as well as how they act/react when around less familiar people. We usually start by helping the family understand the child and getting the child to feel comfortable with the clinician. We find what level of speech complexity the child is working at, differentiate speech production from identified language levels, and scaffold language with AAC/sign while we build speech skills. Most of the time I will use a visual sound system (FONEMZ) to help them visually grasp which sounds we are working to produce and how they look in isolation, syllables, words and phrases, combined with gestural prompts and pictures for added success. This format helps decrease the confusion around words that are spelled different than they sound, and then links back to written language with a bridging tool (Fonzabet). Therapy may also involve increasing oral awareness, consistency and accuracy with direct oral techniques, and/or use of tools such as a bone conduction headset to increase sensory feedback while speaking.