My primary goal for all my clients with a diagnosis of CAS is to keep therapy targets functional. The majority of children I see are minimally verbal, but often have receptive language skills which are much higher or are WNL. The primary caregiver(s) must be incorporated into the therapy program in order to achieve the greatest level of success. Together, we develop initial core word targets which will be most meaningful to the child and their family. These targets typically include 3-5 words at a time. We will address words, or close approximations of the words, using sounds for which the child is stimulable and can achieve early success given multisensory cueing as needed. Achieving as many repetitions of target productions as possible is the ultimate goal in CAS therapy, following the principles of motor learning. With that said, my ultimate goal initially is to build rapport with the child and their CG(s) so that they can begin to trust me as their provider. Sessions MUST be fun and engaging in order to keep a young child interested and motivated to try. As these foundations are laid, the hard work of building functional and intelligible speech sound production can unfold.