This really depends on the age of the child and any other previous therapies. Because I specialize in young children, I often co-treat suspected phonology with suspected apraxia until I have enough evidence to determine if one course of treatment is more effective than the other. Once a motor planning approach is determined, I will target high frequency/high motivation words identified by the family in the home environment. These target words are then addressed in conjunction with identified word shapes or specific target sounds. I use tactile, visual and verbal cues as determined by the child's response to each type of cue. AAC or visual photos are introduced early to assist in getting effective communication started. Choices are mandatory in my therapy session so the child has a reason to try to communicate. Once target words are successful in therapy "sitting" activities, motor movement activities are paired with the targets to attempt to get more generalized productions with supports. As the child becomes more successful in single words, of course we introduce more expressive language tasks to use these targets in functional sentences or settings.