Recognizing the Signs of Childhood Apraxia of Speech Identifying CAS early is crucial for effective intervention. Children with this disorder often show specific speech characteristics that set them apart from other speech delays. Inconsistent speech errors: A child might say the same word differently each time, struggling to repeat sounds or words consistently. Vowel distortions: Errors and distortions in vowels and diphthongs are common in CAS. Groping movements: You may