You work both independently and with the speech therapist. You do most of the practising on your own and then both you and the speech therapist decide on what challenging speaking situations to work on(this depends on you mainly), gradually getting harder. I'm currently on my last speaking task which is to join toast masters and give a speech. Everyone will have their own speaking tasks depending on what they find most difficult. The speaking tasks are done by you alone and must send a video to your speech therapist.