Severe CAS treatment can feel overwhelming, but the core idea is often surprisingly simple: identify the syllable shapes a child can say successfully, then gradually build towards more complex words. In this article, Olga Komadina explains how she uses syllable shape hierarchies, target selection and word approximations to support children with severe Childhood Apraxia of Speech.

A child may learn to say individual words clearly, yet still become difficult to understand in sentences. Discover why sentence-level speech creates a new motor planning challenge for children with Childhood Apraxia of Speech (CAS) and how we can support the transition from clear words to connected speech.