What I love about my work with children who have apraxia is that they are bright, able children who require us to think outside the box! As a bilingual clinician, I am encouraged to amp up our level of 'fun' in sessions and approach treatment in a way that is functional, achievable but challenges the client and their family to work towards more. My families and I work towards facilitating communication that is effective and efficient so that the client is able to communicate their needs/wants across all natural settings and with all speakers.

Our sessions allow the child to lead in play either at the table, in the playroom our even outside. I believe children grow and use their words when the "motivation meter" is at its highest level; this means following the child's lead in sessions along with providing choices for activities and intertwining novel more challenging tasks as we move forward in treatment. My typical session might include implementing the child's target words through a gross-motor activity (obstacle course, for example), songs, pretend play activity, picture book or board game. Targets are carefully chosen and may focus on phonatory control (air-breath), mandibular control (jaw), labial control (lips), lingual control (tongue) and/or sequenced movements in order to achieve successful productions. I implement visual, verbal, auditory and tactile feedback across varying degrees and fade cues as we move forward in treatment to achieve independent productions.