I use varied therapeutic protocols and goals with each child I work with diagnosed with moderate to severe CAS since each child presents differently. I always ensure my sessions are fun and engaging, full of fun reinforcements and games in order to keep the child motivated while increasing participation. Finding activities where the child engages in intensive and frequent practice throughout the session is also important when treating children with CAS. If the child has difficulty producing vowels I typically start there, working on sounds in isolation as well as simple syllable combinations (i.e. consonant-vowel: MA; vowel-consonant: UP; consonant-vowel-consonant: BAT). I use multiple modes of cueing within my sessions, providing cues the child can see, hear, and feel. I have been trained in PROMPT, where a clinician touches the child’s face in certain ways in order to guide their lips, jaw, and tongue to more correctly when forming sounds and words. Using tactile support within therapy sessions helps to cue the child to better understand how to produce various sounds. Once a child is able to produce basic syllable structure words, I continue to provide multiple sensory cues in order to support them in putting more complex sounds/words together. I always emphasize to parents the importance of practice; practicing correct movement sequences frequently will support the child in motor learning.