In early sessions, I focus on building rapport with a child and educating and counseling their caregivers on CAS. I establish initial objectives for therapy based on the child's current speech skills and the family's priorities. My approach is based on a variety of accepted motor-speech interventions and uses an array of verbal, visual, and tactile prompts in an effort to find out what a child responds best to. Typically, sessions are play-based with a mixture of child-led and adult-led activities. Play will be structured in such a way as to maximize opportunities to imitate a small set of targets, which may consist of sounds, syllables, or words, based on a child's speech repertoire. As a child masters targets, I will add in utterances of increasing complexity, slowly working toward complete and fluent conversational speech.