Our goal is always functional communication, making sure that the child has a way of communicating with others. As such, my initial goal is always to make sure the child has a method of communication, which is individualized for the child and may include augmentative alternative communication (AAC), developing core vocabulary based on the child’s current repertoire of sounds, or other methods that are a good fit for that child and family. With an effective communication system in place, we then focus on motor learning and coordination of syllable shapes, as well as vowel differentiation. I utilize PROMPT and Kaufman methods depending what is appropriate for the goals, child, and family. Additionally, I carefully consider aspects of motor learning: mass v. distributed practice, motivation, constant v. variable practice, and consistent, specific feedback. Working closely with the parents allows me to educate and empower them to help their child make progress.