Due to my work with Early Steps (local early intervention program), my treatments are primarily focused on the initial education for the family/caregivers, establishing functional core vocabulary as well as increasing the child's feeling of success during communication attempts. In addition, I strive to provide early literacy development as well as social/pragmatic and language comprehension/use for the child prior to entering preschool. Multi- sensory approaches (auditory, visual, and/or tactile-kinesthetic) are used as well as low tech AAC to assist in success reaching goals. Referrals to additional professionals are made as needed such as OT, AAC specialist, PT, tutoring, etc. in order to meet all the needs of the child. My approach with children over age 3 includes further development of their speech motor skills but also developing the areas of semantics (meaning), pragmatics (social), and syntax (grammar rules).