Following assessment and conclusion of a diagnosis of moderate to severe CAS, I spend time to educate the family about the diagnosis and provide resources. We work together to create a list of functional and motivational therapy targets that are important to the child and family. At the onset of therapy, I would select approximately 5 of the listed targets that contain sounds and/or syllable shapes that the child is already able to produce successfully. I structure my sessions around play that is engaging and motivating to the child; within play we I initially use mass practice to obtain many repetitions of the same target word(s) throughout the session. In order to obtain accurate trials of therapy targets, I implement principles of motor learning and use the DTTC approach within which I use a hierarchy of cues. In addition to the DTTC hierarchy cues, I use a variety of tactile kinesthetic, visual, auditory, and metacognitive cues. I am able to utilize my training in PROMPT to support tactile cues when necessary and when the child and parent(s) feels comfortable with a hands-on approach.