Depending on the child's cognitive and linguistic abilities, I may recommend a high tech or low tech AAC device to support the child's functional communication abilities while verbal expression is still developing. In my career, I have used a high-tech AAC device (Proloquo2go on the Ipad) for a child with strong receptive language abilities relative to expressive language, and poor speech production skills secondary to CAS. We used the AAC device to support various pragmatic functions, which we targeted during both structured tasks in therapy (i.e., labeling, commenting, requesting) as well as during unstructured tasks (i.e., greetings, social commenting during snack time, requesting preferred toys on break). I more frequently use lower tech AAC (e.g., pictures, sign language) as they are more accessible and readily available to the families I serve. For a particularly young client with both CAS as well as ASD, we used a combination of functional signs to meet his basic needs (e.g., more, want, help, my turn, go, etc.) as well as picture icons on a communication board to support requesting during mealtimes. Sign language was used across both academic and play related therapy activities with picture icons used to support specific labeling of items as appropriate.