During the first few sessions, I focus on creating a comfortable environment for the child as well as building rapport so that we create a trusting relationship that will set us up for success during the course of treatment. I encourage parent involvement and want to create targets that are functional for the child, so it’s important to initially gather a list of words that are frequently used at home to begin working on. Based on the child’s sound repertoire, I pick a few targets (sounds, words, phrases, etc) to work on in increased repetition trials. This is done by use of a play-based approach to keep the sessions fun and productive for the child. I use a variety of cues, such as verbal, visual (sound picture cue cards), and tactile (PROMPT cues). As the child creates motor plans for various sound sequences, I increase the complexity of targets and work on generalizing these skills across different settings.