Book excerpt: This book explores how speech and language therapists can use a wide range of multi-modal therapy techniques to elicit speech sound. Due to the nature of the approach, there is a limited evidence base in the area, so this book draws on the authors’ extensive experience, as well as testimonials from families who have been successfully supported by the approach, to offer a new and unique perspective for therapy. By using a total communication approach, the book provides clinicians with the confidence to be more open and experimental in their practice, when traditional routes are proving unsuccessful, to best meet the needs of clients with more complex clinical backgrounds. Chapters include the following: Setting the scene. Persistent speech sound disorders. Popular techniques. Adding the extra dimension. Case studies. How to run a Total Speech group. Total Speech shares success stories of how well-known techniques can be blended to achieve progress and results. It will be a useful addition to any speech and language therapist’s therapy toolkit.