Initial treatment considerations depend on numerous factors including the child’s speech sound inventory, complexity of utterance (syllable shape), and ability to imitate. Target utterances (syllables, words, phrases) are selected based on the child’s current ability and functional needs. I incorporate the principles of motor learning in my treatment, starting with repetitive practice of a small set of target utterances in order to establish automatic motor movements. When ready, treatment shifts to more random practice to encourage retention and generalization of these movements. Prosody (intonation, stress, pauses) targets are included in treatment from the onset. I provide a lot of feedback and use a variety of multisensory cues (visual, gestural, tactile) in my sessions. The DTTC (Dynamic Temporal and Tactile Cueing) approach incorporates these cues and systematically fades them as children achieve accuracy in their productions. This approach works best with most of my clients; it is easy to teach parents to use when practicing at home.