Multiple Oppositions is an approach that can be used for children with issues in phonology and those diagnosed with Childhood Apraxia of Speech. 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.

​

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.