For children diagnosed with CAS, I typically recommend no less than 2 individual sessions per week. I encourage 3-5 sessions per week if the child has a moderate to severe impairment. I am careful that my sessions take advantage of all of the time I have with the student. I have found that intensity is key! My sessions focus on comparatively fewer words than if I am working with a child who only has an articulation disorder. I have the child produce many, many repetitions of the few target words. I often use a token tower that holds 30 tokens. Each time the child says the target word he or she puts a token in the tower. This increases motivation and participation. The number of words I “drill” each session depends on each individual client’s age and level of progress. I start with more simple CV combinations such as VC and progress to more difficult ones such as CVC. I encourage my students to focus on what their "speech helpers" are doing- Is your tongue tip curling up? Are your lips coming together? I use visual feedback and auditory feedback. Example: I often call /t/ the clock sound. t-t-t-t. We have a picture of a clock on the table. I use the PROMPT method and the Kaufman Protocol. I give lots of praise to my students with CAS. They work HARD, and it is important for their continued success that I encourage them often.