My first goal is to establish rapport with each child and to provide guidance to parents. Factors such as the child’s age and the child’s current speech system capabilities will determine our starting point and whether the therapy targets will include movements, single speech sounds, word approximations or phrases. Therapy will be engaging and incorporate plenty of practice of carefully chosen target sounds/words that are meaningful to the child. I incorporate Dynamic Temporal and Tactile Cueing (DTTC) and principles of motor learning. Therapy is always a dynamic process.