When beginning therapy with a child who has suspected or confirmed CAS, I first build rapport with the child and the family and identify methods of communication the child can use to find immediate success. My overall therapy approach is a total communication approach - meaning we are introducing/identifying a lot of tools immediately to improve communication and reduce frustration. This can look like a combination of visuals, gestures, word approximations, and communication devices. As reliable communication is established, I can then introduce more structured methods targeting motor planning using a play-based method, which keeps therapy fun and the child engaged in each session to participate in a lot of practice of the motor sequences we are targeting.