In the beginning, I facilitate speech movement sequences to develop ‘core’ words (e.g. ‘help’, ‘all done’, ‘eat’) that help children attain functional verbal communication and reduce their frustration. I use verbal, visual, and tactile cues to elicit specific speech movements and coordination. I educate parents about CAS and coach them on techniques used in therapy for home carryover - providing continuity and reinforcement of skills. The use of AAC may be considered to give the child a way to communicate while working on verbal expression. I try to use activities/games that are naturally repetitive and keep children engaged. Increasing the level of sound sequence complexity will continue throughout the course of therapy to increase intelligibility.