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A person with Auditory Processing Disorder (sometimes known as Central Auditory Processing Disorder) has normal hearing, but has difficulty processing the information they hear. Children with Auditory Processing Disorder often (but not always) have a language disorder as well. Recommending changes to the child’s learning environment for optimum performance in school. Auditory training – therapy to improve your child’s auditory memory and listening skills. Language therapy – therapy to improve your child’s vocabulary and understanding and use of language. Higher level language therapy – therapy to help your child understand figurative language, jokes and sarcasm.
Literacy training – working with your child to improve phonological (sound) awareness, then building on this to teach decoding strategies to improve reading. Providing your child with management strategies – equipping your child to take responsibility for hearing and understanding what is said. PLEASE NOTE: We have moved to an exciting, larger premises effective October 3, 2015 and have a new phone number. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
Also known as APD and Central Auditory Processing Disorder (CAPD), Auditory Processing Disorder is a neurological condition that impacts the way the brain is able to process what is heard. Children with Auditory Processing Disorder are often not diagnosed right away because their symptoms mirror so many other conditions, such as ADD or ADHD. As you can see, many of these symptoms can easily mirror other conditions, or even just be characteristics of kids who have struggles, but aren’t diagnosed with actual disabilities or conditions.
The first stop is usually the pediatrician, who can help assess general health, especially of the ears. It is usually advised that children be at least 7 or 8 years of age before having these assessments done because the child needs to feel comfortable in the testing situation and able to respond at age-appropriate levels. The examiner gives various verbal directions to the child in a series of tests, some timed and some untimed. As a relatively new condition in the scheme of medical diagnoses, there is not a unifying consensus as to what causes APD or the definitive ways for which professionals can test and diagnosis the condition.
Achieve Hearing & Rehabilitation is a speech and hearing clinic with locations in Plano and Dallas, Texas.
Achieve Hearing & Rehabilitation specializes in comprehensive evaluations that help you achieve a balanced life. A free collection of articles about hearing and speech published by Achieve Hearing & Rehabilitation.
Audiology, Speech-Language Pathology, and hearing websites maintained by educational, governmental and professional associations. Every person receives a comprehensive evaluation - strengths and growth areas are identified - treatment plans are developed to specifically target the person's needs. Helping patient's communicate better and overcome hearing, speech and language challenges - Achieve a balanced life. Auditory Processing Disorder: it’s what the experts call it when your child’s hearing is just fine, but she doesn’t always understand what is said. Auditory processing is a series of complex operations performed by the central nervous system that cause no difficulty for most children. But that’s only the beginning of the issues a parent might see in a child with one of the many issues that fall under the heading of auditory processing disorder (APD) or central auditory processing disorder (CAPD), as it is sometimes known to show its origins as a disorder of the central nervous system.


Sometimes the problem with processing auditory information is due to a learning difficulty.
In fact, there may be more than one difficulty getting in the way of your child’s ability to process what she hears. Here there may be a dual problem of distraction as well as a difficulty in filtering sounds. The variables of auditory processing disorders can be seen in the example of the baby who is learning the concept of heat by way of the word “Hot.” As the baby reaches out for a piece of hot potato, her mother may caution, “Hot!” The baby can feel the heat coming off the steaming piece of food and she can hear the urgency and caution in her mother’s voice. A baby with APD, on the other hand, may miss or misinterpret some of these crucial signals. Auditory Figure-Ground Issues: Background noise makes it impossible for the child to pay attention to the lesson at hand.
Auditory Memory Issues: The child’s memory can’t hold all of the necessary information, such as the items on a list or a set of directions. Auditory Attention Issues: A short span of auditory attention means a child will miss at least part of most lectures.
Auditory Cohesion Issues: The child finds it difficult to find the moral in the story, understand a pun, or solve a word problem.
The good news is that APD is treatable and is not a global higher-order disability along the lines of autism or intellectual disabilities. Varda Meyers Epstein is a mother of 12, communications writer, and education blogger at the Kars4Kids blog. APD is diagnosed by an audiologist and language disorders are diagnosed by a speech pathologist. Somewhere between the sounds that are heard and how the brain remembers or understands those sounds, the information is jumbled or even lost. Speech-language pathologists can assess communication proficiencies and make recommendations for further testing as well. When my child went through this testing process, it helped to allow him time to become comfortable in the sound proof room before beginning the exam, and I was allowed to sit on the other side of the window where he could see me for reassurance.
Some responses are recorded with hand signals, and often buzzer systems are used to mark answers.
Instead, comprehensive testing by a team of medical professional and symptoms that continue for more than 6 months are important to making an accurate diagnosis.
You have clearly and simply explained APD which will definitely help any parent wondering if this is the issue with their child. We offer speech-language pathology and audiological services to children and adults of all ages, and resources to help you target your specific speech therapy needs. Our Plano location is located 1 block East of the Dallas Tollway in the Parkwood Crossings Medical Complex.
She can’t seem to filter the sounds she needs to hear from the sound of the crowd in the surrounding environment.
She bursts into tears when an airplane flies overhead, or puts her hands over her ears when you take her clothes shopping at a busy mall. It’s not just a stalling technique to gain time: in her effort to puzzle out what you’ve said at the beginning, she’s lost the end. You may have noticed your child has no trouble understanding the spoken word in a one-on-one situation, for instance when you read her a bedtime story, but she is hopelessly lost in the classroom where the slightest sound distracts her: a child’s foot swinging endlessly behind her, the sound of chalk on the blackboard, the clearing of a throat, all seem to conspire against your child’s ability to make sense of the teacher’s voice. For instance, a baby with APD might become alarmed and cry when her mother cautions, “Hot!” Or she may be distracted by the radio playing a hypnotic tune and miss her mother’s cautionary words altogether. The memory issue may be immediate, or only cause issues in retrieving the information at a later time.


As a result, the child can find it difficult to follow instructions, read, spell, and write.
Treatment falls into three main areas: changing the learning environment, teaching the child compensation measures, and remediating the root cause of the auditory deficit.
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Auditory Processing Disorder – From Screening to Diagnosis and Management – a Step-by-Step Guide. What makes this condition so challenging to diagnose and so frustrating for many parents whose children struggle with this condition is that functional hearing is usually not affected in people with APD – it is the processing of sounds that is affected. Parents who are concerned about their children’s processing have several options for testing.
If structural auditory health is not an issue and there are no recurring ear infections that could be contributing, the next step is often to meet with an audiologist or professional who specializes in auditory processing tests. It is amazing that subtle changes in how questions are phrased can be clues to APD, and no one single test gives the definitive answer.
If your child has been diagnosed with auditory processing disorder, there are therapies and strategies that can be used to improve communication and language skills. But for some children, the sounds they hear might as well be in a foreign language, though the child’s ears are working fine.
It is obvious to you as a parent, that your child is overly sensitive to auditory information.
That may mean that by the time you’re finished saying, “Can you go to the store and buy a dozen eggs?” she has grasped that you want her to go to the store, but has missed the end of your sentence completely. She can’t seem to distinguish the background noise from the primary sound she’s meant to hear.
The teacher may not mind noise in the classroom, but the child with APD can find it impossible to differentiate the sound of the teacher’s voice from the softer sounds of student chitchat. The baby has correctly used all the signals she receives (touch, sight, sound) to interpret the meaning of the spoken word “Hot!” in this situation. Or perhaps her central nervous system can’t register caution in a voice, because to her, caution is a foreign language her brain can’t comprehend.
If you suspect your child may have an auditory processing disorder you will want to have her evaluated by an audiologist. These tests go beyond hearing tests and measure the ability to process the information that the ears hear. Instead, through mapping the results of many tests, audiologists and APD specialists can either rule out or further include APD as a diagnosis.
In auditory processing disorders, the brain cannot interpret the information that the ears hear. A third child has an excellent head for math and no hearing problems at all, but when confronted with word problems, is completely lost.
Her brain needed more time to process the words she hears—more time that is, than the time it took you to say them. This is just one possible combination of two entirely different issues that may make it difficult for your child to process auditory information. Like any other obstacle, living successfully with APD is about finding and using effective coping techniques to get on with living life to the fullest.



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