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Forum -> Parenting our children -> Our Challenging Children (gifted, ADHD, sensitive, defiant)
Auditory processing disorder
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amother
Chocolate


 

Post Tue, Nov 23 2021, 4:47 pm
Forgive me for responding anonymously but I’d like to protect my screen name.
I’m an experienced slp who has worked with school age children for more than 20 years. Something is wrong with this story-auditory processing is not diagnosable at age 4, and it’s not diagnosed with a gut feeling or informal observation. Most tests are administered starting at age 7 but some audiologists wait until age 8 or even 9. It is an implied disorder based on a number of atypical auditory behaviors that need to be differentiated from language disorders, adhd, perceptual hearing issues and other difficulties. What makes it even more complicated is that some of these difficulties, like language delays or adhd, can be concomitant ( or existing at the same time). The only way to truly determine it’s presence clearly is through an audiological evaluation by an experienced audiologist who may ask an slp to weigh in if language concerns are present.
Over the years I’ve seen the term APD thrown around but in my experience it’s not a first line diagnosis, it’s a rare conclusion to determine APD as an isolated issue. Its extremely difficult to diagnose and treat. Please think this over and have your child revaluated by an expert audiologist and SLP so that you can do what needs to be done.
There’s a lot of information on the ASHA website to guide you.
And by the way, if I heard about a child at age 4 who was struggling with following directions and other comprehension issues, I would assess and treat for language delay. So would any other experienced therapist I know.
I’m not trying to scare you. It’s just that there’s so much misleading information and misguided advice out there. It breaks my heart when parents waste time and effort.
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OneSource




 
 
    
 

Post Tue, Nov 23 2021, 5:03 pm
amother [ Chocolate ] wrote:
Forgive me for responding anonymously but I’d like to protect my screen name.
I’m an experienced slp who has worked with school age children for more than 20 years. Something is wrong with this story-auditory processing is not diagnosable at age 4, and it’s not diagnosed with a gut feeling or informal observation. Most tests are administered starting at age 7 but some audiologists wait until age 8 or even 9. It is an implied disorder based on a number of atypical auditory behaviors that need to be differentiated from language disorders, adhd, perceptual hearing issues and other difficulties. What makes it even more complicated is that some of these difficulties, like language delays or adhd, can be concomitant ( or existing at the same time). The only way to truly determine it’s presence clearly is through an audiological evaluation by an experienced audiologist who may ask an slp to weigh in if language concerns are present.
Over the years I’ve seen the term APD thrown around but in my experience it’s not a first line diagnosis, it’s a rare conclusion to determine APD as an isolated issue. Its extremely difficult to diagnose and treat. Please think this over and have your child revaluated by an expert audiologist and SLP so that you can do what needs to be done.
There’s a lot of information on the ASHA website to guide you.
And by the way, if I heard about a child at age 4 who was struggling with following directions and other comprehension issues, I would assess and treat for language delay. So would any other experienced therapist I know.
I’m not trying to scare you. It’s just that there’s so much misleading information and misguided advice out there. It breaks my heart when parents waste time and effort.


Good to know but my daughter was diagnosed as APD. This is our story. Yes, consult specialists but we did that too and this was the result. The people we've spoken to since her diagnosis that have APD are all very similar to our daughter and had the same difficulties. There were, obviously, other factors that helped cue the diagnosis and it wasn't a gut instinct. To be very clear, she was fullynand competently evaluated by multiple professionals and the board of ed, as well. It was a difficult diagnosis to hear and a harder one to work through for years. Your advice and experience may be different but mine is coming from a mom of a APD child's perspective. I am not a professional in this field and never claimed to be. Please respect my "story" even though it's not yours.
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Hashem_Yaazor




 
 
    
 

Post Tue, Nov 23 2021, 5:31 pm
I highly suggest the book When The Brain Can't Hear. I found it an excellent resource when we were investigating the possibility of this diagnosis for one of my children.
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schmoois1




 
 
    
 

Post Tue, Nov 23 2021, 5:51 pm
Hi
I’m also an experienced SLP doing this all day for a living. I specialize in auditory processing and language disorders. You cannot be diagnosed with true APD until age 7 minimum, and it needs to be diagnosed through true CAPD testing done by an audiologist.
Board of Ed evals DO NOT diagnose CAPD. Even neuropsych evals might tell you they suspect it, but will refer you to an audiologist.
ADHD, CAPD, and language disorders all look similar, sometimes are confused, and sometimes are concomitant.
OP where are you located so we can point out more resources for you?
Also, to the poster who mentioned Dr. Alexander in London: he is an OPHTHALMOLOGIST. He treats vision and visual processing disorders. He doesn’t treat focusing unless it’s caused by a vision disorder.
What in heavens name does he have to do with an auditory processing disorder?
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amother
Violet


 

Post Tue, Nov 23 2021, 10:58 pm
Another SLP here. I agree with that mom. Dr Jay Lucker, an excellent audiologist who treats and lectures, stated in his presentation that he can diagnose CAPD at age 4.
Most audiologists do do at age 7 but this is what he stated...
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amother
Lemonchiffon


 

Post Tue, Nov 23 2021, 11:41 pm
OneSource wrote:
Good to know but my daughter was diagnosed as APD. This is our story. Yes, consult specialists but we did that too and this was the result. The people we've spoken to since her diagnosis that have APD are all very similar to our daughter and had the same difficulties. There were, obviously, other factors that helped cue the diagnosis and it wasn't a gut instinct. To be very clear, she was fullynand competently evaluated by multiple professionals and the board of ed, as well. It was a difficult diagnosis to hear and a harder one to work through for years. Your advice and experience may be different but mine is coming from a mom of a APD child's perspective. I am not a professional in this field and never claimed to be. Please respect my "story" even though it's not yours.

Interesting. Curious what kind of testing was done at that age that differentiated between receptive language disorder and APD?
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amother
Azure


 

Post Wed, Nov 24 2021, 12:35 am
As a mom and a professional, you cannot give a definitive diagnosis of CAPD at age 4. Actual accurate testing can only be done at 7 by an audiologist with an expertise in capd. However, it is possible to give a tentative diagnosis earlier if the child seems to fit the profile and utilize some treatments so as not to waste tme.

Dr. Alexander is an ophthalmologist. Vision therapy will help with focusing. This has no connection with auditory processing. However, as you are probably aware, many children have more v than one diagnoses.
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