Dependent on a child's age, I aim to combine play based and structured practice opportunities. Often in play, this looks like multiple successful trials before making a toy move, taking a turn, or performing a play action. These sessions often follow a child's lead from the activities that they choose, with appropriate targets that have been previously selected. Older children typically see more structured trials at the table, still following high interest activities and topics. I strive to use these functional targets across communication partners, so therapy often will transition into the larger gym area of the clinic to be incorporated with peers and other adults. Therapy follows a DTTC prompting approach, utilizing tactile supports as needed, prosody changes, and visual sounds cues. Targets are increased as success is established. For example, "stop" may transition to "mom, stop!". Family is welcome to be present, or session is reviewed in the last few minutes with activities and demonstration for carryover at home.