I have to admit this with a very red face: I've gone many years with using the same activity with all of my students, regardless of their objectives or age. It was just easier to do therapy using a game, and centering therapy around that activity. Now that TpT is in the picture, my language therapy has been taken to another level.
The Book Companion Packets help me bring books into my therapy session. All of the different activities that go along with the book bring excitement and allow me to tailor the activities to each individual's goals. The only downside with the packets is that I usually end up buying at least 2 packets per book to hit the goals I want to target with my students. And, since almost all of the packets have some activities that are the same, part of the packets don't get printed. Some of my favorite sellers of Book Companion Packets: (Click on the picture to be taken to their TpT Store)
Jenn Alcorn Simply Speech Mindy Stenger Jennifer Hanson
Normally, I don't even look at TpT products that are over $5, unless it's something specific that I'm looking for. Even then, that product will go on my wish list until there's a sale and/or I have enough credits to bring down the price. If a product is large, I normally won't print off the entire product: I decide what I need right away and only print what I need.
There are a lot of quality free products available. You would be amazed at what you can find for free through TpT, and not just Speech-specific products. I would estimate that 75% of my materials were free. Well, not exactly "free" when you figure in the ink, cardstock, and laminating sheets, but you get the idea.
Sorry; I got off on a tangent, there! Back to the topic!
I am able to individualize therapy for my students by searching for their targets on TpT. It takes more planning, but it's definitely worth it. My students are making more progress, and I feel like I'm really making a difference with increasing their language skills.