Therapy happens in your home or over video, not in a clinic room. That's deliberate. A child's communication develops where they actually live — at the dinner table, during bedtime story, in the middle of a fight over a toy. Working in that environment means the strategies transfer instead of staying behind in an office. It also means you're in the room. Parents and siblings are part of every session, and you leave each one knowing exactly what to practice before the next.