My therapy for CAS is a play-based, multi-sensory approach. Children learn through play, and if they are having fun, have a buy-in and the play is meaningful they will work hard. Also trust in the therapist is important and the child must feel you are on their side and trust you, what better way to do that than play. Within the play, I require high numbers of repetitions. I begin early and work hard to have those expectations understood within play. Every child knows they have to say the word we are working on a minimum of 5 times before gaining the object or continuing play. During therapy I quickly set expectations for eye contact (“watch me it will help you”), expectations for cueing whether it be their hands to my face, a picture, simultaneous production, a sign or tactile cue. This allows for many many repetitions within a session. It works and the child is able to feel success quickly. I am a big user of Dynamic Temporal and Tactile cueing, or DTTC. With DTTC, use the most cues in order to help the child be the most successful in his/her productions and then systematically decrease the number of cues and supports until the child is able to produce targets independently. Our goal is to shape the child’s productions in order to get the most accurate production possible. I also use Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT). PROMPT is the use of my hands on the child's face to guide his/her jaw, lips, and tongue to move correctly to form words.