My treatment approach is play-based, child lead and adult directed. We have loads of fun, but we work HARD! I implement Dynamic Tactile and Temporal Cueing Hierarchy (DTTC) in all sessions for my children with moderate to severe CAS. For more mild CAS cases, I always use a principles of motor learning approach while implementing elements of DTTC and my individual clinical expertise. In the beginning of therapy, I take time initially to establish rapport with each individual child. I am a firm believer that every child learns differently, therefore, therapy cannot be a one size fits all model. I am constantly adapting and being mindful of children’s nonverbal and verbal cues to ensure each treatment session maximizes on their strengths and boosts their growth mindset!

During a therapy session, parents should expect that we will mask our hard work in fun, functional, and playful scenarios. Although we have a lot of fun in therapy, therapy is still hard work, so I ensure that I am always in control of my materials as it is imperative we get a high number of practice trials during each session. It takes time to build trust between the child and their new therapist, so I always follow a child's lead while building up their confidence through growth mindset feedback. I empower children to be resilient through praise for hard work and recognition that speech can be hard, but I am here to help. I use multi-sensory cues during therapy sessions to ensure the child is successful in their productions to include simultaneous productions, visual speech sound cues, tactile-touch cues, and verbal cues. I get to know each individual child to know what cues work best for them as everyone is different.