Auditory Processing Disorders

What Is APD?

An auditory processing disorder is a condition in which the brain’s interpretation of sounds is adversely affected. Individuals with auditory processing disorders (APD) often do not recognize subtle differences in sounds of words even though the sounds are loud and clear. This difficulty becomes more pronounced in noisy or adverse listening environments or when listening to complex information.

The prevalence of APD is difficult to ascertain due to the lack of standardized diagnostic criteria and other factors. Studies suggest a prevalence in the pediatric population between 0.2% (Nagao et al., 2016) and 6.2% (Esplin & Wright, 2014).

What Are Symptoms of APD?

  • Difficulty following multi-step directives
  • Trouble understanding in noisy listening environments
  • Poor listening skills
  • Academic performance does not match ability
  • Struggles to pay attention
  • May exhibit auditory memory issues
  • Need more time to process auditory information
  • Difficulty with reading, spelling, math word problems and vocabulary
  • Disorganized and forgetful
  • Tire easily when engaged in listening tasks for extended periods
  • May have problems with receptive language or comprehending abstract information
  • Often look for visual cues to help “fill in” gaps they miss through oral information
  • Become frustrated and may exhibit behavior problems

How Is APD Diagnosed? 

A full hearing assessment must be conducted before an auditory processing evaluation can be performed. We recommend APD evaluations only be performed on children ages 4/5 and up. This balances the complexities of the test with the need for early intervention.

Any child who appears to not be hearing well should first be referred for a hearing assessment. If hearing is normal, an auditory processing screening should be performed. Children with a history of frequent middle ear infections, hyperbilirubinemia, problems with attention or focus, or the other characteristics listed on this sheet should be referred. Note that many of the behavioral complaints seen with children with ADD/ADHD, autism and dyslexia are similar to those seen with APD, and these conditions may overlap.

What Treatment Options Are Available?

Treatment options are determined based on the specific auditory deficits of each child. Treatment plans typically consist of environmental modifications, compensatory strategies, assistive listening devices and auditory training or therapy.

Auditory Processing Scheduling Requirements

Testing is completed from age 4 to 50. The more information provided, the better HGTA can provide a customized evaluation and treatment plan that meets you or your child’s needs.

Items needed for scheduling an auditory processing appointment include the following (if they have been previously obtained):

  • Evaluations from school and or/psychology that establish where your child is functioning developmentally.
  • Educational Full Individual Evaluations (FIE) from the school.
  • Individual Educational Plans (IEP) from the school including accommodations and modifications.
  • Evaluations from school and/or psychologists that diagnosed Dyslexia, Autism, and/or ADHD (if applicable).
  • History of head injuries and subsequent evaluations on cognitive status.
  • Medical history.

A $125 deposit will be required to secure your appointment. 

Call Heard It Through The Grapevine Audiology, PC for more information or to schedule an appointment.

(817) 488-1637

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