Which of the following is a principle of treating apraxia of speech?

• A. Not all patients are candidates for therapy
• B. Therapy should be chosen randomly without assessment
• C. Therapy should be delivered only in group settings
• D. Therapy should avoid counseling families

Answer: (A)

Deciding candidacy for therapy is essential in treating apraxia of speech. Therapy isn’t automatically indicated for every patient—some individuals can’t participate effectively or may not gain meaningful benefit due to factors like the severity of the speech disorder, coexisting cognitive or language impairments, medical instability, or a progressive condition. In such cases, the plan may focus on goals that are realistic and meaningful, or on alternatives to optimize communication, rather than pushing a standard therapy approach. This reflects a thoughtful, individualized approach rather than applying a one-size-fits-all method. By contrast, selecting therapy at random, restricting it to group settings only, or avoiding family counseling would ignore necessary assessment, feasibility, and holistic support that are key to effective treatment.