My treatment is based on motor-learning principles and engagement. I find that children who are engaged are excited about coming to therapy and want to do their homework. Repetition is key for speech motor learning, so I often have parents video how to practice target words or phrases that were learned in the session. During treatment, I usually select a small group of target words based on the child’s speech abilities that are functional for the child in his/her environment. I will help the child learn new words using a gesture system. While children may be learning new sounds during therapy, the focus is on helping a child go from learning more simple to more and more complex word structures (Simple word structures might have only one or two syllables and only one or two sounds, whereas a more complex structure would have more sound variety and may have multiple syllables). Since repetition is important, in addition to homework, I recommend a minimum of 2 sessions a week, and sessions are 30 to 45 minutes, depending on the child.