🔷 A. Speech Sound Therapy Chart for AUTISM (ASD)

🔑 Core Principle for Autism

• Focus on meaningful communication

• Sounds are taught within words & intent

• Heavy use of visual + functional context

1️⃣ Therapy Priorities (Autism)

2️⃣ Sound Selection (Autism)

✅ Start with:

• Sounds child already attempts

• Sounds in daily-use words

Best starter sounds:
/m, b, p, n, d, t/

❌ Avoid starting with:
/r, th, s blends/

3️⃣ Autism-Specific Sound Practice Chart

🔹 Step 1: Sound + Meaning (NOT isolation only)

🎯 Goal: Child understands why they are speaking

🔹 Step 2: Sound in Action Words

🔹 Step 3: Visual + AAC Support

• Picture cards

• Gesture + sound together

• PECS / AAC allowed (speech still develops)

4️⃣ Cueing Style (Autism)

✅ Visual cues (mirror, picture)
✅ Simple language
✅ Wait time
❌ Too many verbal instructions
❌ Pressure to repeat

5️⃣ Progress Expectation (Autism)

• Sounds may emerge slowly

• Carryover improves with routine

• Communication > clarity initially

6️⃣ Autism Summary Line

In autism, speech sounds are taught through purpose, visuals, and interaction—not drills alone.

🔷 B. Speech Sound Therapy Chart for APPRAXIA (CAS)

🔑 Core Principle for Apraxia

• Problem is motor planning, not understanding

• Needs intensive, repetitive motor practice

• Focus on movement sequences

1️⃣ Therapy Priorities (Apraxia)

2️⃣ Sound Selection (Apraxia)

✅ Start with:

• CV syllables (Consonant-Vowel)

• Visible sounds

Best starter sounds:
/m, b, p, d, t, n/

❌ Avoid initially:

• Blends (sp, tr)

• Long words

• Inconsistent sound sets

3️⃣ Apraxia-Specific Sound Practice Chart

🔹 Step 1: Motor Movement (Isolation → CV)

🎯 Goal: Automatic motor pattern

🔹 Step 2: Same Pattern Words

🔹 Step 3: Controlled Word Chains

4️⃣ Cueing Style (Apraxia)

✅ Tactile cues
✅ Slow modeling
✅ Hand-over-hand prompts
❌ Random word practice
❌ Fast speech

5️⃣ Frequency (Very Important)

• Daily practice (even 5 minutes)

• Fewer sounds, more repetition

• Accuracy before complexity

6️⃣ Apraxia Summary Line

In apraxia, speech therapy retrains the brain to plan and sequence mouth movements through repetition and consistency.

🔷 Key Difference Table (Autism vs Apraxia)