During our first session, Richard was eager to begin. We worked on separating /th/ into initial, medial and final positions of words. Richard’s accuracy is best in initial words. In medial positions of words, he tends to delete or replace with /f/. When I brought this to his attention he agreed but says he “doesn’t think about all of that when he is just talking” We continued by practicing medial /th/ in sentences and highlighting the /th/ in the middle of the word to increase attention and awareness.