I begin most sessions with a whole body sensory activity attuned to the child's sensory needs. This helps place the child in the an optimal state of sensory organization for improving learning. This is achieved using a variety of equipment such as swings, balls, balance beams and scooterboards which provide vestibular and proprioceptive input to either calm or arouse the child's sensory system.

I use an eclectic approach that incorporates PROMPT, multisensory cueing and DTTC. My therapy is overall guided by the principles of Motor Learning which means I try and see children with CAS 2 - 3 x per week for about 40 minutes. I believe I am highly skilled at getting motivation and participation from my patients and this comes from my Greenspan Floortime background as well as my studies with Pamela Marshalla. I structure my therapy sessions into pre practice, practice and review. I work to get high levels of repetition and pay close attention to my selected targets at every session. I work on variability and prosody early on in treatment I also am constantly evaluating my feedback depending upon what level a child is at. During prepractice I use more mass practice and then move towards a more distributed practice schedule. I believe my children are able to make great progress because through my tactile and proprioceptive cueing they are better able to create new motor plans. Then as we progress in therapy I do a dance as I like to say where I progressively remove cueing and help the child's motor system to take over. By following Motor speech principles I see my kids are able to generalize new motor speech sequences outside of the therapy room. I also work very closely with families to ensure carry over and home practice.