Early Intervention for Suspected Childhood Apraxia of Speech (CAS)

Do your late talker's language comprehension skills continue to grow but expressive speech progress continues to be very slow?

Early intervention for suspected childhood apraxia of speech can be extremely beneficial for children but only when the correct treatment approach is used!


See below for the researched backed early indicators of childhood apraxia of speech.

Early Indicators of Childhood Apraxia of Speech

Speech Signs

  • Limited babbling or variation within babbling

  • Limited speech sound diversity

  • Inconsistent errors

  • Increased errors or difficulty with more complex syllables/words

  • Omissions of sounds

  • Vowel errors

  • Limited intonation

  • Loss of previously produced words

  • More difficulty with imitation than spontaneous productions

  • Preference for specific speech sounds or syllable shapes


Davis, B., & Velleman, S.L. (2000) Differential diagnosis and treatment of developmental apraxia of speech in infants and toddlers. Infant-Toddler Intervention: The Transdisciplinary Journal, 10. 177-192.


Overby, M.S., Caspari, S.S., & Schreiber, J. (2019). Volubility, consonant emergence, and syllabic structure in infants and toddlers later diagnosed with childhood apraxia of speech, speech sound disorder, and typical development: A retrospective video analysis. Journal of Speech, Language, and Hearing Research. Doi:10.1044/2019_JSLHR-S-18-0046.

Non-Speech Signs

  • Difficulty imitating non speech oral movements (oral apraxia)

  • Difficulty with volitional movements “smiling” “kissing” “puckering”

  • Delays with fine/gross motor skills

  • Feeding difficulties that include choking and/or poor manipulation of food

  • General awkwardness or clumsiness

What does therapy look like for suspected CAS?

If you suspect your child may have childhood apraxia of speech, consulting with an SLP who is trained in differential diagnosis of speech sound disorders from language disorders is important. When a child is suspected to have CAS, treatment must focus on motor speech practice. Typical language modeling and other language based approaches will not help your child improve their motor speech skill. Their receptive language skills will continue to grow but expressive speech will improve at a very slow rate or may remain stagnant. If you are concerned your child may have CAS, we are here to help!