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(Last week’s article:BEST Tips for Auditory Processing Challenges)

Auditory processing disorder (APD), also known as central auditory processing disorder (CAPD), is a complex problem affecting approximately 5% of school-aged children in the U.S. These children are unable to process the information they hear in the same way as others because their ears and brain don't fully coordinate. Something adversely affects the way the brain recognizes and interprets sounds, most notably the sounds composing speech.

If you notice or suspect that your child is struggling with hearing or a processing issue, the best person to give you medical advice or an appropriate referral is your child’s pediatrician. Receiving good care means having the opportunity to talk personally with the doctor who knows your child, who knows you and can ask you questions, can conduct a preliminary exam to screen for physiological hearing issues, and/or provide a good referral. The pediatrician can help guide you and your child to the qualified medical professionals and other experts in physical, emotional and behavioral issues when needed.

If further evaluation is necessary, your child’s pediatrician will refer your child and you to an otolaryngologist, a physician who specializes in treating the ear, nose, and throat. When visiting this specialist, he or she will perform a more comprehensive hearing examination. Depending on the specialist's office staff, additional tests may be conducted in the office or a referral might be given to one or more of the following medical professionals for further evaluation:

For Auditory Processing Issues

An audiologist is the preferred professional to test for auditory processing. A series of tests are given to stress the system by compromising the auditory signal. He examines how well the auditory system uses or interprets the information the ear sends it.

For Phonemic Processing Challenges

Phonemic processing is usually tested by an audiologist and a speech-language pathologist (SLP). These medical professionals examine the discrimination of phonemic characteristics of the signal.

For Language/Linguistic Processing Problems

A speech-language pathologist (SLP) is the medical professional who tests for language/linguistic processing. She examines the acoustic integrity of the signal and evaluates the functional discrimination of the acoustic signal. The third area of assessment for the SLP should be in the area of "language processing," or the ability to use the linguistic code to attach meaning to the acoustic signal.

Preliminary Checklist for Auditory Processing Difficulties

__Difficulty following oral directions; inconsistent responses
__Short, auditory attention span; fatigues easily
__Poor short/long term memory
__Daydreams, appears not to listen
__Difficulty hearing with background
__Difficulty localizing sounds
__Academic and/or speech & language problems
__Disruptive behaviors; impulsive, frustrated
__Requests repetition; frequently asks "huh?"
__History of ear infections

Resources to Help:

American Speech-Language-Hearing Association Website
Visit the following website to locate a certified audiologist or speech/language pathologist in your area, or contact the American Speech-Language-Hearing Association (ASHA) at 1-800-638-8255 for this information.
http://www.asha.org/findpro/

Redefining Auditory Processing Disorder: A Speech-Language Pathologist's Perspective---by Gail Richard
http://www.asha.org/Publications/leader/2004/040330/f040330b2.htm

Introduction to Auditory Processing Disorders
FREE downloadable PDF file that provides an overview of APD and the appropriate medical professionals to consult regarding the condition.
http://www.asec.net/Archives/APD.pdf

VIDEO-Auditory Processing Disorder in Kids---from Web MD
http://children.webmd.com/video/auditory-processing-disorder-in-kids

For information on customizable reading tools:
www.FocusandRead.com Tools for struggling readers of all ages!
www.BrennanInnovators.com Info & support for struggling readers
314-892-3897

Image courtesy of: Lexercise at http://www.lexercise.com/wp-content/uploads/2012/09/ear.jpg

Do you suspect that your child or one of your students may have difficulty with auditory processing? A Central Auditory Processing Disorder (CAPD) can result from any breakdown in the very broad set of skills needed to deal with auditory information.

Children with auditory processing disorder (APD) have difficulty listening in environments with background noise. Of course, if hearing difficulties are noticed or APD is suspected, first consider a comprehensive hearing test prior to further evaluation for APD. If you see your child or your student struggling to process oral directions or other information, there are a few things you can do so that the child will have a greater chance of experiencing success in following the directions or understanding the information.

1. Discover ways to change the listening environment.
First, turn off nearby noise-generating devices as much as you are able. A television or CD player should be turned off and seating should be provided away from a heating or cooling system’s fan, etc. Also, eliminate any other distractions that could be visually stimulating. This is particularly important for the area of your child’s or student’s homework desk and tables.

2. Provide tips & strategies to help remember directions.
It is very important to teach a child with APD some specific strategies to cope with the challenges of following directions. It’s a good idea to even involve your child in developing some of these strategies. Allow him to become part of the solution, not just the problem.

• Ask the child, “What do you think will help you remember?“ List these on a small poster or a large bookmark for the child’s easy reference when needed.

• Some children do well when writing notes to themselves as a “crutch” or anchor. Post-It Notes can be especially effective for this, particularly when posted at eye level. Other children are more successful if they carry 3” X 5” index cards with notes or prompts.

• Sometimes, placing a colorful band around the wrist or a favorite sticker on the child’s hand can be just the kinds of visual reminders needed to carry out a specific task. Helping to develop coping strategies such as these will help the child or student learn to problem solve and become more independent, an important life skill in and of itself.

• Teach the child to visualize each step in the set of directions. Ask her to create a mental picture of the task in her mind’s eye.

• Ask the child to repeat a set of directions several times in a low voice (and later, silently) until the task is finished.

Example:
1. I can see myself going into my room.
2. Then, I can see myself getting my bookbag.
3. I now see myself putting my math homework into my math folder.
4. Now, I can see myself placing the math folder into the bookbag.
5. Finally, I can see myself closing the bookbag.

4. Help the child create a daily record book.
This should include a calendar on which to record daily events and homework assignments. Help the child organize schoolwork. Teach the child to check off completed items. Show the child your own systems for keeping track of appointments (palm pilots, date books, kitchen calendar, lists, etc.)

5. Structure is critical---Create and maintain helpful schedules and routines.
Children with APD are most successful completing tasks when those tasks are part of an established and structured routine. Doing homework at the same time every night and in the same space or location can contribute to more success for these children.

6. Communicate often (and effectively as well as respectfully) with teachers and therapists.
Feedback and input from your child’s teacher or your student’s parents can be invaluable in helping bring about improvement with APD issues as well as other learning challenges for a child. This will reveal which strategies are working for the child at school, and will give the opportunity to tell others what is working at home.

To do this effectively, establish a mutually agreeable day and time to communicate as well as the preferred method of communication (i.e. phone, email, handwritten note, etc.) Providing a colorful folder for a child or student to carry important to school and home will increase the chances of the folder being utilized and remembered---regularly.

7. Use daily activities as opportunities to improve listening skills.
There are many ways to incorporate listening skills practice into daily activities:

• Ask your child to help make a list of needed items for his birthday party before visiting the store. Dictate 2-3 items and have him write them down on the list. (Remind him of the strategies taught previously, if he struggles.)

• When reading a book aloud to your child or student within the classroom setting, ask the child to summarize what a character said or to list what has happened in the story to that point. Talk about idioms or riddles as well, since children with APD often have difficulty understanding figurative language and inferences.

• Play "listening" games in the car or at "wait times" in your classroom. “Add-on” games are great memory builders. (Example: I went to the zoo and I saw_____, _____, ____, etc.)

8. Use interesting & motivating projects to practice following directions and sequencing.
Projects that are meaningful, rewarding and enjoyable are great ways to practice the learned strategies for following directions. Those that involve the five senses can be even more effective. Short, concrete projects work best:

• Simple but delicious recipes from kid’s magazines (Read directions and child can do the steps.)

• New, card or board games (Read directions aloud and child can interpret.)

• Hobby kits (such as for building a model airplane, small toy, crafts, etc.) (Read directions and child recalls or follows the sequence.)

9. Give directions in more effective ways.
To encourage more success in following directions and to reduce frustration for all, consider changing your delivery of instructions:

Recommendations:
• Think of effective ways to reduce any background noise.

• Gain attention with a touch or voice.

• Make sure the child is looking at you when you speak.

• Speak at a slightly slower rate, with more expression.

• Use simple, short sentences as much as possible.

• Repeat a direction once, if needed, again at a slower rate.

• Break down a set of directions into several parts. Be sure to pause briefly between the steps of the directions. This will allow time for the child or student to properly process each part of the directions at a time.

10. Help build the child’s self-esteem by encouraging changes in the her attitude.

• Ask your child or student to think of herself as an active member of a team, one who is involved in bringing about the solution.

• Help the child understand that all people, especially adults, use strategies everyday to make life better and easier for themselves and others.

• Make a chart or graph showing the child’s successes. This will become a visual reminder and motivator for the child to continue making progress.

Resources:
The Source for Processing Disorders by Gail J. Richards

CAPD Assessment - General Principles by Jeanane M. Ferre, PhD

American-Speech-Language-Hearing Association:
http://www.asha.org

Website containing materials relating to language and auditory skills:
http://www.speakingofspeech.com

Website with FREE informational handouts and materials for purchase:
http://www.superduperinc.com

Website for East Peoria School District 86
http://www.epd86.org/epweb/LOs/Auditory_and_Language_Processing/top_10_tips_for_parents.html

For information on customizable reading tools:
www.FocusandRead.com Tools for struggling readers of all ages!
www.BrennanInnovators.com Info & support for struggling readers
314-892-3897

Image courtesy of: Lexercise at http://www.lexercise.com/wp-content/uploads/2012/09/ear.jpg

It’s that time of year when everything is hustling and bustling---it's the holidays! Whether you are celebrating a Happy Hannukah, Kwanza or a Merry Christmas, this is a busy, busy season. If you, your child or your students are challenged with ADHD, then the season may be more chaotic than busy. In some cases, organizational skills may be lacking more than usual, focus and attention could be more significantly diminished, and the ability to listen well might be even more compromised with all the sounds of the season and the activities that accompany them.

So what is a parent, teacher or adult with ADHD to do during this busiest season of all when it comes to helping yourself or others properly attend to conversations, effectively listen to a discussion or absorb instructions for an activity? At other times of the year, these tasks may already be a struggle for those with attention deficiencies, but right now, those challenges can be intensified with the excitement and busy-ness of the holidays.

During the past week, one of our Facebook fans wrote to us and requested tips for listening and remembering facts in a conversation when one is challenged with ADHD symptoms. This same fan inspired us to write this blog article that we thought might help her and other readers during the busiest season of all. We have included some resources here to help ALL readers who experience these listening issues, especially for those children and adults with ADHD or Asperger’s.

Learn to LISTEN so that YOU can experience success---in the classroom, in relationships, on the job and in life! Happy Holidays and Happy Listening, everyone!

Listening Resources for ADHD

Not Paying Attention? Improve Listening Skills in ADHD Children at Home and School
Article from ADDitude Magazine
http://www.additudemag.com/adhd/article/5934.html

Advice for ADHD Wigglebottoms
Blog article from ADDitude Magazine
Book review of selection written by Howard Binkow for ADHD preschoolers, who don't have to sit still to enjoy some basic listening lessons.
http://www.additudemag.com/adhdblogs/4/4929.html

Improving your Child's Poor Listening Skills
Learn the best ways to help your child improve poor listening skills, attention and memory with positive behavior supports.
http://www.child-behavior-guide.com/listening-skills.html

Pay-Attention Tips for ADHD Adults
by Lynn Weiss, Ph.D---Article from ADDitude Magazine
http://www.additudemag.com/adhd/article/5716.html

Listen Up: 9 Ways to Help ADHD Kids Follow Directions
by Sandra Rief--- Article from ADDitude Magazine
http://www.additudemag.com/adhd/article/5152.html

10 Rules of Listening
by Linda Eve Diamond (excerpts from Linda's book, Rule #1: Stop Talking: A Guide to Listening (LP, 2007)
http://www.1000advices.com/guru/listening_10rules_led.html

For more information:
www.FocusandRead.com Tools for struggling readers of all ages!
www.BrennanInnovators.com Info & support for struggling readers
314-892-3897

Image courtesy of: http://www.additudemag.com/adhd/article/5934.html