There are two main types of speech sound disorders, articulation disorder and phonological disorder. An articulation disorder includes any substitution, addition, omission, or distortion when producing specific speech sounds. We first focus on shaping the sounds in isolation and then work on moving up the hierarchy to syllables, single words, and ultimately all the way up to generalizing this new sound within conversational speech. A phonological disorder includes predictable errors or patterns of errors that often impact more than one sound. For example, a substitution of “t” for “k” (“tall” for call and “dut” for duck). Phonological disorders can be linked to issues with language, so children with phonological disorders can be at risk for issues when developing literacy skills.