I tend to use play based sessions to achieve a strong relationship with my clients. I start off by finding out their sound inventory and looking at what words/targets will be helpful to them that we can get, such as their name, or power words, such as on, go, no, etc. I develop a book of these picture stimuli to practice once they can use more volitionally. Multi sensory cues are used throughout, such as tactile, visual, and verbal. I like to use the cognitive cues by David Hammer (humming sound, etc). I try to get multiple repititions of each target and provide appropriate feedback. I look closely at syllable structures the clients have and incorporate those until more sophisticated speech targets. I use AAC, sign language, and picture communication board immediately to assist with lessening frustration.