Initially, I determine the first three priority areas that are breaking down (e.g. mandibular control, lingual control, labial-facial control, prosody) from the motor-speech hierarchy. Then I develop a lexicon of functional syllables, words and phrases that target the areas of need. I incorporate massed practice and distributive practice in every session. I utilize various cues including: verbal, visual, gestural, and tactile kinesthetic PROMPTs (parameter, surface, syllable, complex) to support the client based on need.