Following the evaluation, I will write up the report and discuss the report with the parent. During this time we discuss words that are important to the child/family that will have the most impact on day to day life. I share with the parent, that some of these words may be good targets to start with and some may be too challenging depending on what they choose. If the word is too challenging to start with, sometimes we will think of an approximation that we can attempt instead of the exact word that was provided. I typically start with a target list of 4-8 words depending on the child's needs. These will be words that are functional but also realistic targets based on the evaluation information. During therapy sessions I provide highly motivating activities that make it possible for us to get as many trials of the target words in as possible. Repetition and frequent practice of these motor movements are what support progress. During therapy sessions I utilize a combination of visual, verbal, tactile and kinesthetic cues to help the child obtain correct movement sequences for the targets. Based on the child's progress within the session, I will either increase or decrease these cues as needed to support accuracy and progress towards independence.