First and foremost, my goal in therapy is to build a relationship with children and their parents, families, and caregivers. When I am first starting with a client, we spend a lot of time getting to know one another and building rapport. I've found that when I have a client's trust, they work harder and trust me to help them with challenging tasks. I focus almost entirely on play-based therapy methods with structure imposed as clients can tolerate. I find it very important to focus on therapy activities and materials that keep a child focused on my face and articulators. Visual models are very helpful for children with CAS. For example, we may practice a set of words or syllable shapes for 10-50 trials, then take a turn with a game or take a break with physical movement. I have a background in Augmentative and Alternative Communication (AAC), so I tend to focus on words/syllable shapes that are MEANINGFUL and POWERFUL for a child, such as those considered to be core vocabulary words (more, go, stop, etc). However, if a child really wants to say their dogs' name, then that is what we will focus on in our therapy sessions. As with any good CAS therapy approach, I focus on articulator MOVEMENT over individual speech sounds. This has proven to be motivating and helpful for my clients in improving their overall speech intelligibility.