I adhere strongly to a multi-sensory treatment approach, with cues being taylored to each child's individual needs. Some respond well to tactile cues, others prefer simultaneous speech, while still others do well with a combination of simultaneous speech and orthographic cues, for example. Cues are used to support acquisition of targets and then gradually withdrawn to promote independence and generalization. Goals are speech movement-based, but also take into account a family's specific requests (i.e., important names) and I always consider functionality. I include grammar and prosody from the early stages of therapy. Augmentative communication is encouraged whenever appropriate, and I frequently use visuals, such as picture schedules, in my sessions.While therapy is play-based, the goal is to have the child practice the target words/phrases with high frequency. Depending on what stage the child is at in therapy, practice may be mass or distributed, blocked or random, constant or variable.