Auditory Processing Disorder2020-09-04T11:43:28+00:00

Auditory processing disorder can affect children and adults with normal hearing. We offer an APD diagnostic  service with latest technique and procedures for all age groups.

APD diagnostic service:

We start with a comprehensive medical/clinical/social/academic history and use Eclipse and CCC2 as our questionnaires. I have my original training in speech therapy so, have a good working knowledge but I don’t practice as a therapist at the moment. I find the CCC2 questionnaire helpful as sometime it opens up various realms of communication with the speech therapists and families.

We don’t have an APD screening service per se as I am not sure if any screening can address the listening issues in a way that’s needed. It will require too much of my time and also too much of guess work without proper assessment.

So, we only offer two options for appointments

  1. Either you can hvae hearing assessment, which I offer to all ages- there is  paediatric service (0-18 years) with different tests Or
  2. You can come for APD diagnostic assessment

Paediatric assessment

Everyone of any age coming to my clinic tends to have the below:

Ear examination
Tympanometry
Acoustic reflexes- both ipsi and contra
Otoacoustic emissions

For babies, we have auditory brainstem test available.
For pre-schoolers we do visual reinforcement audiometry and speech tests
For school age children- we tend to include puretone/play audiometry and speech testing including speech in noise tests as standard assessment

For APD assessment, over and above the paediatric assessment, I generally use some of the below specialist test:

LiSN S
Random Gap Detection
Pitch Pattern
Dichotic Digits
Speech in noise test (BKB SIN for up to 13-year-olds or Quick SIN for children older than 13 years).
Time Compressed Speech
Auditory Figure Ground

Additionally, we sometime use phoneme synthesis test where there is a concern around speech disorders. In some cases e.g. where there is a neurological type history  etc., I find the Staggered Spondaic Word (SSW) test quite helpful. I have recently procured the new MAPA-II test battery to play with but still just trying to obtain some norms and explore the literature on it. We hope to use some of the tests from it soon. Binaural pitch pattern test sound plausible as it makes a good sense to do this test binaurally and save prescious clinical time.

Our appointments are divided in two sections

  1.  I do a tele- appointment for about 30 minutes to start with. It is for fact gathering and explaining what to expect.
  2. The second appointment is 90-120 minutes long. We encourage parents/clients to book the appointments first thing in the morning as I find, the more tired they are, the worse they perform- particularly, but not only, when they have APD, which sucks the energy out due to the extra stress on listening in a school day, work etc.

I tend to do arrange the order of the testing so that the more taxing ones are done first thing and objective tests like OAE in-between so there is a little mental break while the computer’s working its magic on the ears. They can request a 5 minute break in between the testing. If I find that the person is struggling with listening effort or the results are not tallying up- they get a second appointment to either complete or repeat some of the tests.

The whole thing works much better if the person is relaxed and is at ease. So, I try to use lot of positive words in the session and work around the person being assessed. It is important for me to get the best out of them in a manner that we are still friends at the end of the appointment.

We are happy to see both the insured and self funded patients.

If you have any queries or comment, please feel free to let us know. Please send your appointment request via below form:

Some further information on APD is present in this article:

https://www.audiologyplanet.com/information-on-auditory-processing-disorder/

Please see this article for a live chat

https://www.audiologyplanet.com/apd/

For some common questions, please see this:

http://www.audiologyplanet.com/apddiagnosticservice/