I have found that all children, regardless of what specific speech-language goals they have, do best if they are internally motivated to learn. I believe in establishing rapport with the child, and creating confidence in their ability to learn and to try to learn-- such that the parents can help support the child at home-- increasing the frequency of the child's practice and improving generalization of therapy. This might mean practice embedded in daily routines and/or short bursts of more structured practice. I build therapy goals based on what the child CAN do, and then match where the child is and then give them a boost. I believe strongly that "movement wires the brain"; therapy sessions incorporate movement in some form-- whether the movement is contributing to the organization of speech and/or if it is a break. I incorporate different approaches in my treatment of CAS, including experience with DTTC, PROMPT, and Kaufman. Sessions work to support words, phrases, sentences that are meaningful and functional to the child and family.