First, I begin by establishing rapport with the child and parent. During these initial treatment sessions we are working toward answering parent questions and improving the child's cooperation with therapy tasks. My first goal is to increase positive feelings toward communication and reduce the pressure of communicating for better outcomes. I encourage parents to have something they can practice at home that the child is going to have success with, and help them understand how to avoid negative practice. During my treatment sessions I aim to get as many trials and opportunities to practice the target correctly through fun and exciting reinforcement that keeps the child's attention and engagement on the speech task.