
When a child struggles to follow instructions, mixes up words that have similar sounds, or seems distracted in loud setting, parents may question if hearing loss is the problem. But in some cases, the issue might not be with the ears at all: It could be a condition called auditory processing disorder (APD).
Even though hearing loss and Auditory Processing Disorder (APD) often present with similar signs, they are distinct conditions that necessitate unique assessments and treatments. In this article, we will discover the fundamental differences to help you give your child the support they require.
Comprehending Hearing Impairment: A Definition.
Impaired auditory function, also called hearing loss, happens when an individual’s capacity to perceive sound is diminished, frequently resulting from problems impacting the outer, middle, or inner ear.
There are three primary types:
- Conductive hearing loss: Happens due to obstructions or injury in the outer or middle ear, including ear infections or accumulation of earwax
- Sensorineural hearing loss: Consists of damage to the inner ear or the auditory nerve, typically caused by aging, noise exposure, or genetics
- Mixed hearing loss: A mix of conductive and sensorineural types
Physicians usually make a diagnosis via standard hearing tests like audiograms, otoacoustic emissions, or auditory brainstem response (ABR) testing. When a child experiences hearing loss, the issue is with their capacity to perceive sound at all.
What Is Auditory Processing Disorder?
APD, conversely, is not a hearing problem; it’s a brain-based problem with deciphering sounds. Kids with APD can hear just fine, but they have trouble making sense of what they hear.
It’s commonly referred to as “perceiving sounds without grasping their meaning.”
Some common challenges include:
- Difficulty understanding and carrying out verbal instructions involving multiple steps
- Difficulty distinguishing similar sounds or words
- Struggling in noisy settings (like classrooms or restaurants)
- Misinterpreting jokes, sarcasm, or figurative language
A basic hearing test may reveal no issues because the ears are working normally. In Auditory Processing Disorder, the issue happens not with hearing the sound itself, but instead with how the brain translates and processes the sound after it has been sensed.
Distinguishing Between Testing and Diagnosis
To diagnose hearing loss, audiologists use conventional hearing tests that assess sound detection. Diagnosing APD, however, calls for specialized testing that exceeds detecting sound.
Multidisciplinary teams will usually include:
- A hearing specialist to assess how the brain senses sound
- A specialist in speech and language to assess understanding and expression skills
- A psychologist should be consulted to identify any underlying attention or learning conditions that might imitate the symptoms of Auditory Processing Disorder (APD)
Treatment and Support Options
Treatment approaches for children with hearing loss diagnosis:
- Hearing aids
- Cochlear implants
- Assistive listening devices
- Medical or surgical interventions
Or, if your child is diagnosed with APD, support usually involves:
- Speech-language therapy
- Classroom accommodations (e.g., seating changes, written instructions)
- Environmental modifications to reduce background noise
- Auditory processing therapy
APD vs. Hearing Loss: Final Thoughts
Understanding the difference between hearing loss and auditory processing disorder is crucial for getting your child the right help. If your child seems to have a hard time listening but their hearing test is normal, don’t stop there. The real problem may only be pinpointed by more in-depth assessments. Children with the proper diagnosis and customized treatment approach can succeed academically, in their home environment, and in various other aspects of their lives.
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Sources:.
About Hearing Loss in Children|Hearing Loss in Children|CDC.
Auditory processing disorder (APD)– Symptoms and causes– Mayo Clinic.
Auditory Processing Disorder vs. Hearing Loss: Key Differences.
Understanding the Differences: Auditory Processing Disorder vs. Hearing Loss|Hearing.
Associates of Las Vegas.
Auditory Processing Disorder (for Parents)|Nemours KidsHealth.