Therapy session will be individualized based on child's age, goals, and severity. I do use a child centered approach. When starting with a new patient the focus of the first few session will be making that child comfortable talking to me and establishing rapport with the child and family. I will start each session by talking to family to see if there has been any progress since their last visit and how they are doing implementing therapy strategies at home. I will use a variety of treatment approaches, based on what each patient needs. Therapy targets are specifically chosen based on function and the clients current mastery of sounds and syllable shapes. I utilize a variety of cues (ie., verbal or visual) that I will fade when appropriate while focusing on a high number of repetitions for each syllable shape/word to promote motor planning/programming.