In treatment, I tailor each session to the child's specific goals and offer activities based on his/her personal interests to keep them motivated! With parent/guardian input, I select functional and meaningful target words based on the motor speech hierarchy. I consider a child’s control of phonation (voice), mandible (jaw), labial (lip)- facial, and tongue muscles, as well as prosody (melody) when selecting targets. Therapy is based on the principles of motor learning and focuses on speech movements in varying syllable shapes. I want children to experience communication successes and provide multi-sensory supports to achieve this. PROMPT and DTTC are the primary treatment methods I use. When needed, I also implement and work with augmentative communication methods such as PECS (Picture Exchange Communication system) and speech generating devices to facilitate effective communication.