For a child with moderate to severe CAS, I use an approach that is research-based. The approach I like to use during my therapy sessions is called Dynamic Temporal and Tactile Cueing (DTTC). During this approach, we focus on producing appropriate movement during connected speech. Since many children with CAS have difficulties with vowels, prosody, alveolars, words with increasing lengths, etc., I make sure to include these components during our therapy sessions. A formal evaluation is first completed in order to determine the appropriate targets to help the child make progress. All therapy sessions include a lot of immediate reinforcement and high repetitions of practice to help the child with creating a solid motor plan.