ASHA-certified
Certified by the American Speech-Language-Hearing Association, the national standard for SLPs.
Childhood apraxia of speech (CAS)
When the words are there — and the mouth can't keep up.
Book a free 15-minute consultation- Apraxia-trained SLPs
- Frequent, motor-based
- In your home
The basics, broken down
What apraxia is — and isn’t
Childhood apraxia of speech (CAS) is when a child knows exactly what they want to say but their brain can’t reliably plan the movements to say it. CAS is rare, often misdiagnosed — and the right therapy can be life-changing.
A planning problem, not a muscle one
CAS is a motor speech disorder. Unlike articulation, where a sound is consistently wrong, in CAS the same word may come out differently every time. The breakdown isn’t in the muscles or in language understanding — it’s in the planning between brain and mouth.
Often misdiagnosed
CAS gets confused with severe articulation disorder or global language delay. Differential diagnosis matters: CAS responds best to a specific kind of motor-based therapy, with much higher session frequency than typical speech therapy.
Why frequency matters
Most kids with CAS need 2–4 sessions per week, especially early on. Done right, they make remarkable progress — and many catch up to peers on intelligibility, even if some traces remain.
Quick self-check
Signs of apraxia
These signs together raise the question of CAS. Any single one of them isn’t enough — the pattern is what matters:
Tap the ones that sound familiar
Even one of these is enough reason to look into it. We're here when you're ready.
If you’re seeing several of these, ask for a CAS-specific evaluation. Not every SLP is trained in apraxia — every Speech Bee who works with CAS is.
Step by step
How we work on it
CAS therapy is intensive and motor-based. We use evidence-supported approaches like Dynamic Temporal and Tactile Cueing (DTTC), Rapid Syllable Transition (ReST), and integrated phonological awareness — selected based on your child’s age and profile.
Specialized evaluation
We assess motor planning specifically — multisyllabic words, vowel accuracy, prosody, consistency. We rule in or out CAS rather than treating it as a guess.
High-frequency motor practice
Lots of repetitions of carefully chosen words, with cueing that fades over time. Sessions are short and focused — kids do real, repeated motor work, not crafts that happen to involve speech.
Building syllable shapes
We start with simple syllable shapes (CV, VC, CVCV) and build up. Each step is locked in before we move on.
Functional, motivating words
We pick words your child wants to say — siblings’ names, favorite snacks, “let’s go.” Motivation drives volume of practice, and volume drives progress.
Parent partnership
CAS demands more home practice than any other speech disorder. In parent-assisted sessions we teach you the same cues we use, plus realistic 5-minute drills you can run multiple times a day.
Where therapy happens
Apraxia therapy in your home
In-home
In-home apraxia therapy
Frequent, predictable sessions are a cornerstone of CAS care. For families that can swing it, in-home offers the right environment for high-rep motor work.
- Less travel fatigue when sessions are 3–4× per week.
- Younger kids stay regulated in their own space.
- Parents see exactly how to cue and we train you live, every visit.
- We can pre-load practice into your daily routines.
Why in person
Why we keep apraxia therapy in person
Speech Bees only offers stuttering therapy online. We believe speech therapy works best hands-on, and that matters most for motor-based apraxia work.
- Touch and tactile cues guide your child’s mouth through each movement.
- Your Speech Bee sees every attempt up close and adjusts in the moment.
- Frequent sessions are easier when the in-home Speech Bee comes to you.
- Parent-assisted sessions teach you the same cues, so home practice matches therapy.
What every family gets
Free 15-minute consultation
Talk it through with us before you commit to anything.
Free parents guide
Yours at the very first session.
Parent-assisted sessions
Join in and learn the same practices your SLP uses at home.
Hand-picked SLPs
We evaluate every Speech Bee, including how they are with kids.
Who you'll meet
Real, licensed SLPs for apraxia therapy.
Free 15-minute consultation
Wondering if apraxia therapy fits your child?
Tell us what you're noticing. A real person writes back, usually within one business day, and the first step is a free 15-minute consultation.
Good to know
Common questions about apraxia therapy
How often should we be doing therapy?
Most CAS guidelines recommend 2–4 sessions per week, with home practice on the off days. Less than that and progress slows. We’ll work with you to find a schedule that’s realistic and effective.
Will my child outgrow apraxia?
CAS doesn’t resolve on its own, but with the right therapy, kids can make dramatic gains. Many become highly intelligible to unfamiliar listeners. Some traces of CAS may persist; the goal is functional, confident communication.
Is apraxia related to autism?
They’re distinct, but co-occur in some kids. We screen for both and tailor therapy accordingly. Many of our SLPs are experienced working with autistic kids.
Can apraxia therapy be done online?
No. Apraxia therapy is in-home only. It relies on hands-on, tactile cueing, and stuttering is the only service we offer online. A licensed Speech Bee comes to your home.
How do I know if my child has CAS or just a delay?
Differential diagnosis is what we do. A CAS-specific evaluation looks at motor planning, vowel accuracy, prosody, and consistency — and gives you a clear answer.
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More ways we help
Other things we work on
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