I believe with any client you need to establish a trusting therapeutic relationship. Apraxia is very frustrating for many individuals and working on speech can be very challenging. Because of this, I truly believe in building on the child's strengths in a fun environment. I utilize turn-taking in my activities so the client feels that we are a "team" and we are working "together." I use tactile-kinesthetic (touch and movement) input to guide the muscles for target words/sounds so the client has to trust me and accept the sensory input. Therapy for CAS is motor-based so therapy sessions are packed with practice. I strive to make the sessions exciting and interactive by including the client's interests and hobbies so the child is having fun and learning at the same time.

Secondly, it is important to approach CAS as a team effort. The parents and school/early intervention therapists need to be on board. In addition to discussing home carryover with the parents, I consult with the other therapists on the case (ABA, teachers, other SLPs). Consistent feedback and intensive practice of targets is an important part of CAS therapy. Everyone needs to be aware of the child's goals and ways to practice throughout the day. Although I may only see the child a couple times a week for therapy, the child needs to practice their targets daily to maximize effectiveness.

Building the child's confidence and developing intrinsic motivation to practice and communicate verbally are key in the success of the treatment approach.