My overall treatment approach to CAS varies with every child and is highly dependent on a variety of factors such as the severity of the child's CAS, the child's ability to attend to the rigorous demands of the structured therapy sessions, and parental involvement. Initial therapy sessions are spent building a trusting relationship with the child and family, establishing my expectations of the child during therapy sessions (maintaining attention to task, assessing the child's ability to imitate different movement and facial postures, and developing an inventory of the child's consonants and vowels). Once, these have been established, therapy will continue to elicit as many trials as possible during each session while making it fun for the child as well. I know that this therapy is very difficult for the child and I encourage all attempts at producing sounds (correct or incorrect) to establish a safe environment for them to work in. When incorrect attempts are made, I gently redirect, encourage more focused attention of the movement patterns, provide more cueing support through unison imitation of the movement patterns with me, and helping the child learn how to "feel" and describe what movements are being made by the their mouth. Therapy is very dynamic in the sense that it is completely driven by what the child can and cannot do. Therapy will start out with a small amount of sound and movement patterns and will continue to grow and change as the child's ability changes.