SmiLE Therapy started out as an approach to prepare young deaf people for life in the hearing world, outside the protection of their home and their school. While these young people share the umbrella description of being deaf, their individual needs have, from the start of smiLE Therapy, been taken into account in the design of each module. Factors including mode of communication, rate of learning, skills already present, skills potential and confidence levels are all taken into account from the initial planning of a module through therapy delivery to the generalisation stage. A therapy that is adaptive and has the needs of the individual at its core also contains the potential to expand beyond the world of deafness and include young people with other kinds of communication difficulties.