Auditory Processing Disorders

Dr. Melissa Karp, Au.D.

Some hearing problems require special evaluation. Our audiologist has training and expertise in auditory processing (APD) evaluation, allowing her to help patients—including children—who may have those symptoms.

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Charlotte Clinic

Auditory Processing Disorder Evaluation

Auditory processing is not how well a person hears, but instead what the brain does with what a person hears. An individual can get a perfect score on a hearing screening yet still have extreme difficulty with an auditory processing test. Many term this a listening disorder, joking “He hears what he wants to hear.” But in reality, auditory processing disorders can cause reading and spelling problems, in addition to difficulty following multi-step directions and remembering details from a story.

Individuals with auditory processing difficulties will present with specific symptoms. Often they will act as if they have a hearing issue even when they pass every hearing screening that is given. There are specific indicators that help you determine if auditory processing issues are present.

Of all the processing disorders, this one is most often missed or misdiagnosed. Many times children are misdiagnosed with ADD or ADHD when they actually suffer from an auditory processing disorder. That’s why patience and experience matter when evaluating auditory issues.

While children can be identified and treated early for auditory problems, a full auditory processing test rarely occurs before age seven. This involves an audiologist to diagnose the disorder and a speech-language pathologist to provide treatment. By knowing the type of auditory processing disorder faced, we can identify the right therapy for you.

Diagnosing APD

A series of auditory processing tests are performed to diagnose APD. Assessments evaluate:

  • Peripheral auditory system
  • Binaural integration and separation
  • Temporal patterning
  • Auditory closure
  • Auditory figure-ground discrimination
  • Binaural interaction
  • Language processing assessment

Multi-Disciplinary Approach

It is common for a child with APD to have other difficulties that are beyond the scope of an audiology assessment. In those cases we will work with other professionals to obtain additional evaluations. This may include:

  • Speech language pathologies for speech and language assessment
  • Educational psychologist for psycho-educational assessment
  • Occupational therapist for proprioceptive, vestibular and sensory assessments
  • Developmental optometrist for visual processing assessment

There are therapies and technologies that help APD, and in some cases improve it significantly. A proper assessment of an auditory processing test can indicate which therapies would be a good approach.

Audiology & Hearing Services of Charlotte, North Carolina, will help you take a proactive approach to living with auditory processing disorder. We have the training and experience to find the solutions that work for you.

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11121 Carmel Commons Blvd. STE 150
Charlotte, NC 28226

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