Are You Referring the Right Patients for Auditory Processing Assessment?

Guidance for Speech-Language Therapists: Recognising Auditory Processing Disorder in Your Clients

Introduction

Speech-Language Therapists (SLTs) play a vital role that goes beyond addressing speech and language difficulties; they are tasked with understanding the underlying causes that may impede communication. One such cause, often overlooked, is Auditory Processing Disorder (APD). APD affects how the brain processes and interprets sounds, presenting unique challenges that standard hearing tests may not reveal. This guidance explores which clients may benefit from APD assessment, why referral matters, and how targeted intervention can make a transformative difference.

Spotting the Signs: Who Should Be Referred

SLTs frequently encounter children and adults who technically “hear” but struggle to understand spoken language. If working with clients who display the following signs, an APD assessment may be warranted:

• Difficulty following spoken instructions, especially if they involve multiple steps

• Poor listening skills despite normal hearing test results

• Frequent use of “What?” or “Huh?” during conversations

• Trouble understanding speech in noisy environments

• Challenges with phonological awareness, reading, or spelling

• Mishearing similar-sounding words (for example, “coat” versus “goat”)

• Delayed language development without an obvious cause

• History of repeated middle ear infections in the first five years of life 

• Continued articulation or language therapy has not resulted in expected outcomes

The Importance of APD Assessment

Auditory processing issues often remain hidden, yet they can significantly impact a person’s ability to develop language, learn, and communicate effectively. By referring clients for APD assessment, SLTs help ensure that interventions target the root cause of their difficulties. Relying solely on language therapy may not address these underlying auditory processing challenges, potentially leaving clients without the support they truly need.

How Auditory Training Can Benefit Clients

Once APD is identified, tailored auditory training programmes can be introduced to strengthen the brain’s ability to process and interpret sounds. These programmes are akin to “physical therapy for the brain’s listening system”, offering targeted exercises and strategies to improve:

• Auditory discrimination

• Memory and sequencing skills

• Speech-in-noise comprehension

• Listening stamina

• Overall communication confidence

Such training not only enhances listening abilities but can also boost a client’s self-esteem and participation in daily activities.

Collaboration for Better Outcomes

Working alongside audiologists who specialise in APD enables SLTs to provide a holistic approach to care. This multidisciplinary collaboration ensures that clients receive comprehensive evaluation and intervention, maximising their potential for success in communication and learning.

Conclusion: No One Left Behind

Unrecognised auditory processing difficulties can cause children and adults to “fall through the cracks”, as their challenges may be mistaken for other language or behavioural issues. By remaining vigilant and referring the right patients for APD assessment, we can ensure every client receives the support they deserve. Let’s work together, as therapists, audiologists, and advocates, to bridge the gap and empower those affected by APD. 

If you think that you may have a client that could benefit from APD assessment or treatments get in touch and we would be happy to assist.