I like to provide individualized therapy based on my client's needs and work with the family to determine what is the top priority for their child. For younger children with suspected CAS or diagnosed CAS I like to work on expanding basic communication skills while still working to promote motor learning for clear production of highly rewarding words. This is often done in a combination of play and more structured therapy work dependent on the child's ability to attend to structured activities and their current developmental level. For older children with CAS I tend to do highly structured therapy sessions to maximize our time together and then work to provide targets to practice at home when the child is ready to work on carry-over outside of the therapy session.