During initial sessions, I focus on building rapport and earning the child's trust. I model words and expand utterances as much as I can without expectation that the child will imitate my productions. At this time, if the parents and child do not have a reliable way to communicate with each other, I suggest printing pictures of common wants and needs the child has and hanging them in an easy-access place, such as the refrigerator. More parent education is given at this time as well depending on the family's needs. As sessions progress, I continue to use play-based practice and slowly begin to work in moments of structured practice. Structured practice then consists of repetitions of target words/syllable shapes/motor movements, and I rely heavily on visual, verbal, and tactile cues. I begin with heavy cueing and slowly fade as their accuracy increases over time. Breaks are offered as needed in order to maintain morale and motivation!