It is so important for children to be able to communicate their thoughts, feelings, and ideas. It is even more important for them to be heard and understood. My therapy for a child with CAS begins with establishing a trusting relationship. That is best achieved by taking a child led approach and facilitating play based therapy with the child’s highly preferred interests. Once I establish a trusting relationship with a child and have determined the child’s current speech sound repertoire, I begin the work of modeling, cueing, and shaping the child's established speech productions. Providing mass varied practice opportunities, ample praise and feedback, accurate models, and motivating experiences is the foundation of my therapy for a child with CAS.