Building a strong rapport with children and their families is always my focus at the onset of therapy. I believe that success in therapy is highly dependent on the relationship between the child and the therapist. Children must feel comfortable, supported and understood in order for them to be willing to participate in tasks that are challenging for them. Additionally, one of my first goals for nearly every child with CAS I work with is for them to improve their production of words that are functional, meaningful and motivating to them. This may include family member names, favorite toys/activities, core vocabulary/phrases (e.g., "I want", "My turn", "help", etc.), "power" words/phrases (e.g., "no", "mine", "stop", etc.) and exclamatory phrases (e.g., "Yes!", "Wow", "Uh-oh", "Oh no!"). When children begin to improve their production of some of the words and phrases that are most relevant to their life, they quickly reap the benefits and this initial success often leads to increased participation in therapy down the road. Within treatment, I incorporate use of DTTC (Dynamic Temporal and Tactile Cueing) strategies including multi-sensory input in the form of visual and tactile cueing. I aim for a high number of repetitions of targets within each session.