I use a variety of research-based approaches that are based on the principles of motor learning including Dynamic Temporal and Tactile Cueing (DTTC), Rapid Syllable Transition Training (ReST), Speech Motor Chaining and a modified-Nuffield approach. I strive to highly individualize treatment to each child. Treatment typically includes the use of multi-sensory cueing and feedback, focused attention by the child reinforced by early success, intensive, frequent, individual practice, multiple repetitions of speech movements, slower rate, systematic progression through hierarchies, emphasis on self-monitoring, compensatory speech and language strategies, prosody remediation, and addressing all aspects of disordered communication. For most children, especially young children, I incorporate age-appropriate, motivating materials for the child including books, puzzles and games. Most sessions include a mass practice of recently introduced goals as well as distributed practice of goals that are nearing mastery and generalization. I believe in total communication and that all forms of communication are valid.