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Let's add Auditory Processing to the list

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    Let's add Auditory Processing to the list

    My son had his audiology appointment today. His hearing is just fine. Whew! He has ear drum scarring, but it doesn't affect his hearing. Turns out it's just 10 year old boy ignoring his mother kind of hearing loss. Ha!

    I mentioned that he has asked for increased volume while listening to the radio or watching movies, like he can't hear the conversation. The audiologist was stumped, he could hear all the different tones at different volumes in the sound booth.

    So she did a different test. He had to repeat spoken words. He did just fine with isolated words, the examiner said "cat" and my son repeated "cat". Then she gave the target word within a sentence, "say the word cat, now" and he totally bombed. He couldn't decipher what she was saying or what the target word was.

    She asked if he was a struggling learner. Yes. She asked if anyone had mentioned ADHD, dyslexia, or even Autism for him. Now, this was an audiology appointment so I had not shared any other medical history besides that related to his ears. I just sat there, mouth open, like "yeah".

    She thinks he has Auditory Processing Disorder and that it's frequently co-morbid with those other issues. Insert my mouth still gaping open. She can't diagnose, but referred us to another provider that can.

    Let's add more to the alphabet soup of diagnoses, right?

    I did some preliminary looking on it and it sure does seem to fit. Anyone else dealt with this? Seems there's treatments, but again, there's no providers where we live. What to do?
    Married to DH for 14 years. Living the rural life in the Colorado mountains

    DS11- Simply Classical 5/6
    DD9- Simply Classical 5/6 (neurotypical, but schooling with big brother to save mom's sanity)
    DD 6- Classic Core First Grade

    We've completed:
    Classic Core Jr. kindergarten, kindergarten, first grade, and second grade.
    Simply Classical levels B, C, 1, 2, 3, and 4.

    #2
    Re: Let's add Auditory Processing to the list

    Paging Dianna Kennedy...
    Jennifer
    Blog: [url]www.seekingdelectare.com[/url]

    DS16
    MP: Lit 10, VideoText Algebra
    MPOA: High School Comp. II
    HSC: Spanish I, Conceptual Physics, Modern European History, and electives

    DS15
    MP: Biology, Lit 10, VideoText Algebra, Greek Tragedies
    MPOA: High School Comp. II, Fourth Form Latin
    HSC: Modern European History

    DS12
    7M with:
    Second Form Latin, EGR III, and HSC for US History

    DS11
    SC Level 4

    DD9
    3A, with First Form Latin (long story!)

    DD7/8
    Still in SC Level 2

    DD 4/5
    SC Level C

    Comment


      #3
      Re: Let's add Auditory Processing to the list

      The increased volume might help "drown out" background noise to help him concentrate on what he hears, whether audio books, television, music, etc. My son with very low auditory processing does this too. After he calls his work friend on my phone, I need to turn down the volume considerably. Yet his hearing is fine.

      This is a good article from ASHA.

      This handy chart gives tips for both ADHD and APD. With or without a diagnosis, these can be useful.


      The biggest takeaway is that he may not be just a mere 10-year-old-boy with selective hearing! He really may struggle to understand, especially when he receives wordy instructions spoken without securing eye contact, or frustrated lectures about behavior, or anyone's words wrapped too generously in flowery context.

      Communication has improved tremendously one-on-one for my son here, especially because I have learned to look directly at him, say something, and then provide a big, quiet pause to let it sink in before adding anything more. I check his face for understanding and only then proceed.

      In groups we still see much confusion. He will ask a befuddled question about a topic covered ten minutes previously, as if it is just now registering, while the group is busy discussing the next topic. Auditory processing is difficult to have, because it impacts socially as well as academically.

      Interestingly to me, my son now has a best friend from the workshop. They have been friends for an entire year. This is a true milestone. The friend comes to our house regularly and even spends the night. The first time I met M, the friend, I noticed how loudly he spoke and how often he repeated himself with a very unusual prosody. "Michael, I'm GOING to need to LEAVE at 2 o'clock tomorrow, I'll LEAVE at 2 o'clock tomorrow, TOMORROW at 2 o'clock, because my DAD will be picking me up at 2 o'clock tomorrow, so I will LEAVE at 2 o'clock if that's all right with you all." He is very polite. He speaks this way to everyone about everything. Many would (and probably do) find this exceedingly irritating, but I realize now that this allows my son to have no confusion!

      The two of them chat almost nightly on the phone as well as on the van to & from work. I think it is soothing for my son to hear things stated so very loudly, clearly, and with such repetition. They are a match made in heaven.


      It is good that you asked the audiologist. It might be worth learning more, if only to uncover additional ways to support him now and in the future.

      Comment


        #4
        Re: Let's add Auditory Processing to the list

        Btw, jot down your notes from this visit and add to his "file" in your home.

        Sometimes I am asked for names & contact info of specialists who made or suggested diagnoses. It can be nice to have a handy list.

        And I am sorry -- I know how hard it is to have yet another concern added to your pile. It can make the head (and heart) spin. Really, though, you have probably accommodated for this more than you realize, simply because you teach him yourself. If you look at the list of accommodations for auditory processing, you may find that you nod and say, "check, check, check." Maybe this is just another reminder that he does, in fact, need everything you are doing for him.

        Comment


          #5
          Re: Let's add Auditory Processing to the list

          Originally posted by jen1134 View Post
          Paging Dianna Kennedy...
          I'm impressed that you remembered this, Jen!


          We actually suspected CAPD back when we started investigating everything, and at that time, BOTH of my twins scored high enough on a screener that it was suggested that we see an audiologist that specializes in CAPD. At that point, however, I opted not to pursue it (I think the boys were around 6 1/2 or so).

          My thought was .... at the end of the day, they would still have issues reading, so I needed to throw all I had at that problem.

          Long story short, Thomas outgrew his symptoms, Adam did not. When we had Adam's psychoeducational evaluation, he ruled out for dyslexia as well as ADHD, but the psychologist strongly suspected CAPD. Off we went to another specialist.

          The audiologist in our area is AMAZING. She's a hybrid homeschooling momma, sending her children to a part time classical school in our area. She also had a daughter with dyslexia, so I immediately felt at ease with her.

          The testing lasted about 4 hours, and we got the results and recommendations when testing was over.

          He has the following issues:
          Left Ear deficit --- delay or dysfunction in transferring information across the corpus callosum.
          In day to day life -- this looks like difficulty listening during class time when there are multiple inputs and noise. He may also have difficulty understanding nonverbal cues, taking notes, drawing pictures from a verbal description, as well as music(playing an instrument, singing in time)

          Difficulty listening in background noise
          Ex: difficulty in the classroom, on the phone, in a restaurant, following rapid conversations

          Difficulty with temporal pattern recognition
          -- He was unable to recognize and imitate tonal patterns
          Day to day life: difficulty comprehending the intent (rather than the content) of speech, difficulty perceiving jokes, understanding messages in which subtle changes in stress alter meaning, and difficulty comprehending overly abstract communicative topics

          Weak auditory memory
          Day to day life -- trouble following oral directions


          She told me that Adam would be a hot mess in a traditional classroom setting, and I know she's right. When the environment is orderly and controlled, he does absolutely fine. (ex: Cottage School class with 10 students) He has trouble with bigger classes, noisy environments, etc.

          What we've done:
          Zoo Caper -- online training for dichotic listening. It's EXPENSIVE, and it's hard work. You're training the brain to listen and recall sounds, while tuning out others.

          HearBuilder -- this has more sections, but they are for auditory memory and following directions. It's cheaper than Zoo Caper.

          Make eye contact when I speak to him, and USE LESS WORDS. (hard for me)

          Write instructions down -- he does beautifully with a list of written instructions.



          She also recommended the following:
          Prosody Training
          OT eval for rhythm, timing, motor planning, sensory processing
          Executive Function/metacognitive training
          Auditory Memory Enhancement
          Using Simon (remember that?) --- spend a few weeks playing as normal, then play with a blindfold
          Keyboard or piano for auditory pattern recognition
          Games for visual, linguistic and/or thinking abilities: Charades, Read My Lips, Pictionary, Hangman,20 Questions, crossword puzzles, Password, Taboo, Catch-Phrase and Tribond
          exercises to stimulate interhemispheric transfer
          Multisensory learning activities


          It's frustrating for sure. My husband very likely has undiagnosed CAPD as well. The chaotic nature (Cheryl says 'lively', which puts a MUCH more positive spin on things) of our house isn't easy for those fellows to deal with.

          I went ahead and tackled the online therapy, because I didn't have to leave the house or alter a schedule. We may look into OT at some point, but there's only so much therapy visits I can deal with and keep my sanity. Right now, Daniel is in speech. Once he gets up and running (it is a SLOW process with him), I may look into it again.


          I'll be happy to send you Adam's report if it would be helpful. I can also ask Dr Manche if she has someone to recommend in your area. We went with her, even though it was pricey, because she came SO highly recommended. We could have gone through the University, but they are more 'clinical', whereas Dr Julie was much more of a mom. (poorly worded, but you know what I mean)
          Plans for 2019-20

          DD1 - 24 - College Grad and rocking her own bakery business
          DD2 - 13 - 8A Louisville HLS Cottage School and MPOA
          DS3 - 11 - 4A Louisville HLS Cottage School
          DS4 - 11 - 4A Louisville HLS Cottage School
          DD5 - 7 - MP2, Louisville HLS Cottage School
          DS6 - 5 - MP K

          [url]www.thekennedyadventures.com/all-about-our-memoria-press-homeschool[/url]

          Comment


            #6
            Re: Let's add Auditory Processing to the list

            Colomama, see also "When the Brain Can't Hear," which you might be able to find used or at the library. The subtitle is something like "unraveling the mystery of auditory processing disorder."

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