For Apraxia treatment specifically, Colleen specializes in DTTC (Dynamic Temporal and Tactile Cueing) and ReST (Rapid Syllable Transition) approaches. Therapy frequency is 2-4x per week 30-45 minutes per session, depending on the child and the funding source. Over the course of her career, Colleen has seen a lot of overlap between CAS and sensory processing challenges with tactile defensiveness. Because she is committed to a neurodiversity affirming and sensory informed approach with an emphasis on bodily autonomy, she uses tactile cues on her own face and does not engage in PROMPT treatment. Colleen selects target word lists for both approaches with clinical discernment and takes data each session on accuracy on cues used. Colleen aims for a high number of trials (100+) per session and gives positive reinforcement in quick ways that do not distract the child from treatment. Colleen is bilingual and has experience in treating Spanish-English bilingual children, selecting target words that have overlapping targets in both languages. Colleen is committed to cultural responsiveness, she believes a clinician must always keep learning, this includes learning from the adult disability community as well. Colleen will always recommend the child also have access to a form of AAC while they are receiving treatment for Apraxia. As a special education advocate, Colleen will help each family request an AAC eval from their school district and make sure the IEP includes robust AAC access, training and goals for functional communication.