Childhood Apraxia of Speech (CAS) Therapy
Your child knows what they want to say, their brain just needs more practice sending the right signals to their mouth. With the right therapy, children with apraxia make real, lasting progress toward clear and functional speech.
ABOUT THE SERVICE
What Is Childhood Apraxia of Speech?
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Childhood apraxia of speech (CAS) is a motor speech disorder, not a language delay or a hearing problem. Children with CAS have difficulty planning and coordinating the precise movements their mouth, lips, and tongue need to produce clear speech. The message from the brain to the mouth isn’t getting through consistently. As a result, children with CAS may be hard to understand, may sound inconsistent from one attempt to the next, or may avoid talking altogether to sidestep the frustration.
Effective treatment for CAS requires a specific, motor-based approach, and frequent, intensive practice. At Communiverse®️, our therapists use evidence-based motor speech treatment approaches including Dynamic Temporal and Tactile Cueing (DTTC) and PROMPT® — two complementary methods that target motor planning from different angles. DTTC builds speech sequences through precisely timed cueing and repetition. PROMPT adds a tactile-kinesthetic dimension, using gentle physical guidance to help the body learn the movements speech requires. Sessions are structured, intensive, and built around functional words and phrases that matter to your child. Caregivers are trained to practice at home between sessions — because for CAS, consistency is everything.
WHO WE HELP
We See Families Like Yours Every Day
Children Recently Diagnosed with CAS
Families who have just received a CAS diagnosis and are looking for a therapist with specific motor speech expertise — not a generalist approach. Early, intensive intervention produces the best outcomes.
Young Children with Limited or No Functional Speech
Very young children or children with minimal verbal output who may benefit from a motor speech assessment alongside AAC exploration, so communication doesn’t wait while speech develops.
Older Children and Teens with Residual Apraxia
Children who received CAS treatment earlier but still have speech clarity challenges as they grow — ongoing motor-based support can continue to improve intelligibility into the teen years.
Children Who Are Hard to Understand Despite Therapy Elsewhere
For children who have been in speech therapy but haven’t made the expected progress — a motor speech evaluation may reveal that CAS is a factor that hasn’t been directly addressed.
OUR APPROACH
How We Work
Motor-Based, Evidence-Backed
CAS requires a specific kind of therapy. We use motor-based treatment approaches — including DTTC & PROMPT— that are supported by the research and recommended by ASHA and the Apraxia Kids organization. Not every therapy approach works for every individual.
Caregivers Are Partners
We include caregivers in every session. Because skills built in therapy only stick when they’re practiced in real life — and you’re part of making that happen.
Frequent Practice, Real Words
CAS improves with repetition and repetition works best with words that matter to your child. We build sessions around functional vocabulary: the words they need to connect with family, navigate school, and feel understood.
Therapy That Fits Your Life
DELIVERY OPTIONS
1. In Our Office
Conshohocken, PA
1958 Butler Pike, Suite 402
A welcoming, dedicated therapy space.
2. Via Telehealth
Available statewide across Pennsylvania as well as other states.
Same quality care — no commute required.
3. Home, School & Community
We come to you — wherever our clients learn, play, grow and work.
A speech delay means a child is developing speech sounds in the expected sequence, just more slowly. CAS is different — it’s a motor planning disorder where the brain has difficulty consistently coordinating the movements needed for speech. Children with CAS often have inconsistent errors, difficulty with longer or more complex words, and may make different mistakes on the same word from one attempt to the next. A proper evaluation can distinguish the two, which matters because they require different treatment approaches.
Research consistently shows that CAS responds best to frequent, intensive therapy — typically three to four sessions per week, especially in the early stages of treatment. This is one reason why telehealth and home-based sessions matter so much for CAS families: keeping up with session frequency is easier when you’re not fighting traffic three times a week. We’ll discuss what a realistic schedule looks like for your family during the evaluation.
This is more common than it should be. CAS is a specific diagnosis that requires a specific treatment approach — not all speech therapy protocols are effective for motor speech disorders. If your child has been in therapy and the approach hasn’t been motor-based and intensive, it may be worth requesting a fresh evaluation. We welcome second opinions and will always be honest about what we find.
With appropriate, consistent, evidence-based treatment, many children with CAS make significant gains in speech clarity — and some become fully intelligible speakers. Outcomes depend on the severity of the diagnosis, when treatment begins, and how consistently therapy strategies are practiced at home. We don’t make promises, but we can share what the research says and what we’ve seen in practice. Early intervention gives children the best opportunity
Get Started
Ready to Get Started?
We’d love to learn more about what you’re looking for. Reach out and we’ll take it from there — no pressure, just a conversation.
Conshohocken · Montgomery County · Delaware County · Main Line · Greater Philadelphia · Pennsylvania Telehealth