Multiple Oppositions is an approach that can be used for children with issues in phonology. This approach is best targeted to children who use 3 or more phonological patterns. This approach is for children who collapse phonemes, and are typically severe. Multiple Oppositions addressed the global problem across a range of phonemes. The clinician should pick targets that are maximally different.

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The clinician can target multiple goals at a time (horizontal organization). Response level can be in imitation and produced spontaneously (imitation and spontaneous phases). The client should have knowledge of their performance and understanding of their phonological production. A speech language pathologist is required to carry out this intervention, but a teacher and parent can also be utilized. Activities should be structured, but can also be in a naturalistic setting to encourage client participation.