What is CAS?

The American Speech Language Hearing Association defines Childhood Apraxia of Speech (CAS) as "a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g., abnormal reflexes, abnormal tone). CAS may occur as a result of known neurological impairment, in association with complex neurobehavioral disorders of known or unknown origin, or as an idiopathic neurogenic speech sound disorder. The core impairment in planning and/or programming spatiotemporal parameters of movement sequences results in errors in speech sound production and prosody."

What can be done?

CAS is a speech sound disorder that requires specific treatment that targets a child's motor system.

How much treatment do children with CAS require?

The amount of service depends on many factors. These factors include age, severity of disorder, and patient motivation to name just a few.

Who can help?

A certified Speech Language Pathologist is the professional who makes the diagnosis of CAS.

Who makes the diagnosis?

SLPs with specific training in motor speech disorders are essential in diagnosing, planning treatment and providing specific, individualized intervention for children with CAS.

What services are available for children with CAS at Clearly Speaking?

Clearly Speaking offers evaluations, individualized therapy, consultations and intensive camps. Clearly Speaking's clinical director, Lisa B. Mitchell M.S., CCC-SLP has been recognized by the Childhood Apraxia of Speech Association of North America as having specialized training and clinical expertise in the area of CAS.

What is the CAS Camp at Clearly Speaking?

  • For one week, children attending Clearly Campin’ will receive 3 therapy sessions daily, two individual and one small group. Individual sessions will be scheduled for morning and afternoon. Group session is scheduled for late morning each day.
  • Prior to the start of Clearly Campin’, an evaluation of your child’s speech production skills will be completed. A treatment plan for camp will be based on this information.
  • Enrollment is open for late preschool to school age children with a diagnosis of CAS.

Our CAS Camp flyer can be viewed here: Clearly Camping Flyer (opens a PDF in a new window)

What consists of a comprehensive CAS evaluation?

Lisa Mitchell, MS CCC-SLP is now offering a comprehensive two-day Childhood Apraxia of Speech (CAS) evaluations in our Hampton Falls office only. The evaluation is for families either looking for a diagnosis of CAS or seeking additional information regarding their child's present level of performance related to CAS.

When you call Clearly Speaking to set up a CAS evaluation, the office manager will schedule you with three separate appointment dates, which include an observation, direct evaluation and a thirty minute phone consultation.

The following is a breakdown of each scheduled appointment:

  • First appointment consists of a 15 minute interview, followed by a 45 minute observation/initial assessment of your child in the office.
  • Second appointment consists of a 1 hour evaluation with a 15 minute follow up to discuss initial clinical impressions.
  • An extensive report is written within two weeks and mailed out to the family. This report will include details regarding testing, observation, therapy recommendations and goals.
  • Phone consultations will be scheduled two weeks after the initial evaluation to review any questions or recommendations within the report.

Here is what our client's families are saying about their experience(s) related to CAS at Clearly Speaking:

"For the last three years, Clearly Speaking has been our family's partner in our Apraxia Journey and we are forever grateful for all that they have done to help our son grow. Two years ago, our son did a week long Apraxia Camp with Lisa. We were worried that the intensity and amount of work would be difficult for him. However, Lisa made the camp so much fun and built them up so much, that he loved going. You could see all of the kids puff up from their accomplishments and their data showed great growth. I would highly recommend the camp."
-- Kristen H.

Call us at (603) 926-3277 to speak with a speech and language professional or click here to get started

clinic locations

We are looking forward to meeting you!


Londonderry, NH

184 Mammoth Road Unit #5
Londonderry, NH 03053

Phone: 603.926.3277

Find us on Mammoth Road. We are across the street from CVS Pharmacy.


Dover, NH

750 Central Ave Suite C
Dover, NH 03820

Phone: 603.926.3277

Find us in the Central Commons building. Headed away from the center of Dover, we are on the left before Wentworth Douglass Hospital.
Click here to view on map below


Hampton Falls, NH

87 Lafayette Road, Unit #3
Hampton Falls, NH 03844

Phone: 603.926.3277

Find us in the Shoppers Village Plaza, across the street from the Hampton Falls Common (complete with cannons!).
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