When treating children with CAS, I think building rapport is the first step in successful therapy. When a child is comfortable and motivated with their therapist, this is when you will see the most progress with their individualized goals. Based on a thorough motor speech evaluation and family input, I create functional goals that are important in the child's day to day life. I encourage parents to be present in my sessions so they can understand the techniques I am using and imitate these strategies at home for practice. Treatment sessions are centered on the motor learning principles repeated, correct productions with specific feedback on performance. Utilizing the motor-speech hierarchy, I begin with syllable shapes to approximate meaningful words with increasing the difficulty of targets. Depending on the child, a variety of cues including verbal, visual, gestural, and tactile will be used to best suit each child's needs.