Auditory processing disorder (APD) (2024)

Auditory processing disorder (APD) is where you have difficulty understanding sounds, including spoken words. There are things you can do that can help.

Check if you or your child have auditory processing disorder (APD)

Auditory processing disorder (APD) often starts in childhood, but some people develop it later.

If you or your child have APD, you may find it difficult to understand:

  • people speaking in noisy places
  • people with strong accents or fast talkers
  • similar sounding words
  • spoken instructions

APD is not a hearing problem. People with the condition usually have normal hearing.

Non-urgent advice: See a GP if:

Tests for auditory processing disorder (APD)

To test for auditory processing disorder (APD) you or your child may be asked to:

  • listen to speech with background noise
  • spot small changes in sounds
  • fill in missing parts of words

Other tests may include:

  • having electrodes on your head to measure how your brain reacts to sound
  • speech and language tests
  • memory, problem-solving and concentration tests

Testing for APD is not usually done on children under 7 years old.

Treating auditory processing disorder (APD)

There's no cure for auditory processing disorder (APD) but there are things that can help.

Treatment usually involves activities to improve listening and concentration. This is called auditory training. You can do it with a hearing specialist or in your own time online.

To reduce background noise, schoolchildren with APD may be advised to wear a wireless earpiece that connects to a tiny microphone worn by their teacher.

Things you can do to help with auditory processing disorder (APD)

There are things that you and other people can do to help with your or your child's auditory processing disorder (APD).

Do

  • talk face to face

  • use pictures and text

  • repeat or rephrase things if necessary

  • use carpet and soft furnishings to reduce room noise

Don’t

  • do not cover your mouth when talking

  • do not talk in long complicated sentences

  • do not speak too fast or too slow

  • do not have background noise, like TV and radio

Causes of auditory processing disorder (APD)

It's not always clear what causes auditory processing disorder (APD).

Possible causes include:

APD is often found in people with attention, language and learning difficulties, such as dyslexia and attention deficit hyperactivity disorder (ADHD).

Page last reviewed: 31 July 2023
Next review due: 31 July 2026

Auditory processing disorder (APD) (2024)

FAQs

What are the test results for auditory processing disorder? ›

According to the American Academy of Audiology, a diagnosis of APD can be made when the individual scores two standard deviations or more below the mean in at least one ear on two or more tests within the battery.

Can someone with auditory processing disorder live a normal life? ›

Something interferes with the way the brain recognizes and interprets sounds, especially speech. With the right strategies, kids with APD can be successful in school and life.

Why can't I process what I hear? ›

Auditory processing disorder happens for many different reasons. In general, experts link the condition to the following issues: Central nervous system disorders like stroke, epilepsy, multiple sclerosis or Alzheimer's disease. Genetics.

What famous person has auditory processing disorder? ›

One famous person with APD is poet Amanda Gorman.

Can you grow out of auditory processing disorder? ›

Due to this gradual maturation, it is possible that a child who was diagnosed with APD before age 13 could essentially “grow out” of APD. Additionally, a child's auditory processing skills may also improve if he or she is receiving therapy for APD.

What is the common assessment for auditory processing disorder? ›

Some of the more common diagnostic tests for APD include Staggered Spondaic Word (SSW) Test, the SCAN Screening Test for auditory processing disorders, and the Multiple Auditory Processing Assessment (MAPA).

What to do if you struggle with auditory processing? ›

Things you can do to help with auditory processing disorder (APD)
  1. talk face to face.
  2. use pictures and text.
  3. repeat or rephrase things if necessary.
  4. use carpet and soft furnishings to reduce room noise.

Can hear sound but not understand words? ›

Auditory Neuropathy is a condition where someone with or without hearing loss experiences problems with perceiving speech. They hear the words, they just can't process them correctly. They may be able to hear sounds just fine, but still have difficulty recognizing spoken words.

Why can I hear but not understand what someone says? ›

Key points: Feeling like you can hear but not understand is a common sign of mild hearing loss. It can usually be treated successfully with hearing aids. In rare cases, it might be due to other problems within the auditory system or brain.

How rare is auditory processing disorder? ›

Up to 5 percent in school-aged children according to the National Institutes of Health. A 2:1 ratio of boys to girls has also been cited. There is no single cause of auditory processing disorder; however, it is linked to risk factors such as (Musiek and Chermak, 2009): Chronic ear infections.

What is the controversy around auditory processing disorder? ›

Conclusion: Most participants consider APD to be a unique disorder, citing clinical experience and the literature for support; however, many also indicated APD is complicated by comorbidity and APD may be overdiagnosed.

Can people with auditory processing disorder read? ›

Many children with APD, albeit those with more mild delays, are able to make the gargantuan effort required to hear the sounds inside words and are able to learn to decode, only to run into problems with reading comprehension later.

What results in an auditory processing disorder? ›

The cause of auditory processing disorder (APD) is sometimes unknown. APD can be linked to many conditions. In older adults, conditions might include stroke and head trauma. In children, APD can be linked to issues at birth, such as low birth weight or early birth, or repeated ear infections.

What are the diagnostic criteria for auditory processing disorder? ›

Signs and Symptoms
  • difficulty localizing sound.
  • difficulty understanding spoken language in competing messages, in noisy backgrounds, in reverberant environments, or when presented rapidly.
  • longer response time during oral communication.
  • frequent requests for repetitions.

What does the test of auditory processing skills measure? ›

Intended to be used as part of a battery, the TAPS-3 measures what a child or adolescent does with what he or she hears.

What is the auditory processing hearing test? ›

These tests are designed to determine whether there are any auditory processing difficulties. The examinee will listen and respond to speech that has been modified to challenge their auditory system. These assessments assess an examinee's memory ability.

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