Therapy begins with a full evaluation. This includes assessing the child's non-speech oral motor movements, an oral structural exam, taking inventory of the their current speech sounds, a standardized articulation exam, and a standardized motor speech exam. Once the evaluation is completed, therapy will begin by meeting with the family and describing the nature of their child's diagnosis, what methods work, and what their expectation should be. Initially, therapy will be frequent (multiple times a week), and short in duration (20-30 minutes). Collaboration and carryover within the home will be an essential part of treatment. So as skills progress over time, and generalization is the focus, therapy will become less frequent with longer durations.