Auditory Processing Disorder

Individuals with auditory processing disorder (APD) or central auditory processing disorders (CAPD) have problems with the comprehension of spoken language. The concept of APD is often difficult for parents, educators and other professionals to understand as individuals with an auditory processing disorder have normal hearing. The breakdown occurs when parts of the brain which analyse and interpret auditory information from the ears do not function appropriately.

It is important to understand the differences between hearing and listening. Hearing is a passive process, beginning in utero, which involves the detection of sound. Listening, in contrast, is an active process which requires the individual to attend to what they hear, process it, and comprehend it.

Common Characteristics of CAPD

(Bellis, 1996, Chermak et al, 1999)

  • Child behaves as if peripheral hearing loss is present; even though hearing sensitivity is normal 
  • Child may refuse to participate in classroom discussions or may respond inappropriately 
  • Child may be withdrawn or sullen 
  • Child may ask for frequent repetitions, say “what” or “huh” a lot, or say, “I didn’t hear you”
  • Child may show extreme auditory inattention and may have trouble paying attention 
  • Child may be easily distracted 
  • Child requires high degree of external organization in the classroom 
  • Child may have trouble following complex auditory directions or commands and localising sound 
  • Verbal IQ scores are often lower than performance scores 
  • Child demonstrates significant scatter across subtests assessed by speech/language and / or psycho educational tests, with weaknesses in auditory dependent areas 
  • Child may exhibit poor reading and / or spelling skills 
  • Child may have fine and / or gross motor skill deficits 
  • Child may exhibit poor singing and music skills 4 / 11 
  • Child may have significant history of middle ear pathology 
  • Positive family history for CAPD and / or ADHD and / or learning disabilities 
  • Quite often children with CAPD are misdiagnosed as ADHD therefore an early differential diagnosis is vital

FAQ's About Auditory Processing Disorder

What Is a CAPD Assessment?

The assessment takes approximately 2½ hours. This includes an approximately 30 minute intake interview with the parent(s)/guardian(s) where your concerns will be discussed. A detailed case history will also be taken during this interview. Please bring educational reports as well as reports from any other professionals (Speech-Language Therapist, Occupational Therapist, Educational Psychologist, Paediatrician etc.).

The assessment will begin with a diagnostic hearing assessment, continuing to an auditory vigilance screening and finally a variety of tests targeting the various tasks involved in auditory processing.

Results will be given in person in an approximately 30-minute feedback session conducted a week after the assessment and once all results have been analyzed. Thereafter, a written report will be issued.

How Do I Have My Child Assessed For APD?

You do not need a referral to schedule an assessment for your child. If you, your child’s teacher or another professional are concerned about your child’s auditory processing you can contact us to schedule an assessment.

Does Medical Aid Cover APD Assessments?

Medical aid reimbursement is dependent on your individual medical scheme. Your final invoice will contain all the necessary codes for you to submit to your medical aid.