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Central Auditory Processing Disorder

  • These individuals often present with difficulties in listening, language, learning, reading, and in other academic and social areas.

  • CAPD manifests itself primarily in the auditory system and predominant complaints are auditory; however, due to brain organization, CAPD frequently co-exists with deficits in related areas:

    • Attention, language communication and learning.

  • Ages 7 and older. Testing can be administered at a younger age, with limitations in norms.

This document builds on the ASHA 2005 definition, which states that “(C)APD refers to difficulties in the perceptual processing of auditory information in the central nervous system and the neurobiological activity that underlies that processing and gives rise to the electrophysiologic auditory potentials.” (Boscariol et al., 2009; Boscariol et al., 2010).


Symptoms Include:

  • Difficulty understanding speech in the presence of competing background noise or in reverberant acoustic environments.

  • Problems with the ability to localize the source of a signal.

  • Difficulty hearing on the phone & hearing television.

  • Inconsistent or inappropriate responses to requests for information.

  • Difficulty following rapid speech.

  • Frequent requests for repetition and/or rephrasing of information.

  • Difficulty following directions or inability to detect the subtle changes in prosody that underlie humor and sarcasm.

  • Difficulty learning a foreign language or novel speech materials, especially technical language.

  • Difficulty maintaining attention.

  • A tendency to be easily distracted.

  • Poor singing, musical ability, and/or appreciation of music.

  • Academic difficulties, including reading, spelling and/or learning problems.

Intervention:

  • School & Work accommodations

  • Home and School Based Auditory Training Therapies

  • Holistic & Body Work

  • FM system & Hearing aid use

  • SLPs, school psychologist, teachers, occupational therapy, family members, and advocates

Auditory processing disorder (APD) is a hearing problem that affects about 3%–5% of school-aged children.


Kids with this condition, also known as central auditory processing disorder (CAPD), can't understand what they hear in the same way other kids do. This is because their ears and brain don't fully coordinate. Something interferes with the way the brain recognizes and interprets sounds, especially speech.




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