Targets of therapy are chosen based on the movements or "sounds" the child can currently produce then expanding on those movements. For example, if your child can say "ma" which is a sound produced by closing the lips together, we will work on expanding to "me","my", "moo", etc. Any words that are important to the family or the child himself are also incorporated. As the child gains new movements, we work on that movement at the beginning of words, end of words, reduplicated, and in simple phrases as well as working on the prosody. The child is given as much prompting as is needed to produce new movements (tactile, auditory, visual) and it is faded as the child is able to produce the movements on their own. Our practice starts out with few movements with frequent trials and lots of prompting or feedback and over time becomes more movements with randomized sets of trials and less feedback as needed so that these skills can carryover outside of therapy.