Auditory Processing Disorder – Adults





Even when a person has normal hearing, they may still face challenges with listening and processing information. This is referred to as auditory processing difficulties/disorder (APD). APD can affect a person’s ability to learn, follow directions, read, engage in conversation, and reach their full potential socially and in the work place.  Adult onset APD may be due to concussion, head injury or aging.

Common signs include:

  • Struggles to hear in background noise
  • Mishears or misunderstands what is being said
  • Cannot remember longer instructions
  • Difficulty concentrating unless it is very quiet in the room
  • Difficulty understanding accents and cannot follow fast speech
  • Dislikes speaking on the phone


Before your first appointment…..

Before attending your appointments with us, we will ask you to complete up to 6 questionnaires online beforehand to give us more insight into your listening difficulties.

The questionnaires collectively are designed to ascertain how much listening difficulty you are currently experiencing, the impact of this on your quality of life at home, work and socially, and measuring communication problems relating to memory and attention.

We will review your questionnaire results as part of the assessment prior to you coming in so that we are prepared for your visit.  You can complete the questionnaires in your own time.  This way you will be relaxed and have enough time to consider your situation before replying.  This will also reduce the amount of listening and explaining you will need to do in clinic.

Handedness Inventory

Adult Auditory Performance Scale (AAPS)This assesses your listening difficulty (5 sub-categories of listening: Noise, Quiet, Ideal, Multiple Inputs, Auditory Memory/Sequencing).

Hearing Handicap Inventory For Adults (HHIA)The helps us see how your difficulties correlate to someone with a hearing loss – a useful counselling tool. 

LSEQ (Self-Efficacy)- This looks at your self-perception of your ability to perform skills necessary to attain a desired outcome. It looks at one-on-one dialogue in quiet settings, direct listening, complex listening, and overall listening self-efficacy. 

Cognitive Difficulties ScaleThis assesses your self-perceived cognitive dysfunction, a tool to measure communication problems related to memory, attention, etc.

La Trobe Communication Questionnaire (LCQ) – This looks at your perceived communicative ability before and after head injury (if applicable). 

Meeting your Audiologist

Person Centered Care.

We follow the principles of person centered care within your appointment.   We work together to:

  • Establish what you wish to achieve from the visit with us.
  • Clarifying and expanding on results from the questionnaires.
  • Summarising your main difficulties.
  • Exploring your individual needs and preferences.
  • Discussing impact of listening difficulties on your family and loved ones.
  • Introduce you to the concept of shared goal setting and decision making.
  • Talk about your medical history and hearing health.
Person Centered Care
This is a graphic explaining the elements of person centered care

Peripheral Audiological Testing.

  1. Video Otoscopy – a small camera is inserted into the entrance of the ear canals.  This enables us to assess the health of the ear canal and eardrum and determine if there is occluding wax
  2. Tympanometry – to determine how sound travels through the ear drum and middle ear and to check for glue ear
  3. Ipsi and contra otoacoustic reflex testing – This is to check the early neural function within the auditory system.
  4. Pure Tone Audiometry (audiogram) – This is the “beep test”. The patient needs to listen to soft tones presented under headphones and they are required to press a buzzer for the duration of the tone
  5. Speech in quiet testing – The patient will listen to short words like “shoe” or “fan” and will be asked to repeat back what is heard
  6. Sentences in noise testing – This is done to get an idea of general auditory processing of sentences when presented in background noise.
  7. Otoacoustic emissions testing – A small soft tip is placed inside the ear.  Soft tones are played into the ear canal.  This is similar to the hearing check carried out on newborn babies.  It looks for abnormal inner ear functioning.

Central Audiological Testing.

  1. Words in noise test – You will hear words presented in background noise.  As the test progresses the background noise increases.
  2. Pitch Pattern Test – You will be required to listen to, identify and name the pattern of three tones/notes played to each ear.
  3. Duration Pattern Test – You will be required to listen to, identify and name the pattern of three tones of varying duration played to each ear.
  4. Dichotic Digits – You will hear sets of numbers presented to both ears simultaneously.  You will be asked to repeat back as many of the numbers that you have heard.
  5. Masking Level Difference – You will be required to listen for some tones played within a white noise and report when you have heard the tones.
  6. Random Gap Detection testing -you will hear 2 short tones played in very quick succession.  Sometimes the sounds are so close together that they sound like one tone.  You will need to listen closely to see if you can one tone or two tones.
  7. LiSN S or LiSN U Test – Test for spatial processing problems.


Adult Diagnostic Assessment
Child Diagnostic Assessment
Hearing Aid Assessment
Wax Removal
Fact Finding and Peripheral Hearing Assessment £350 followed by APD £895
Tinnitus Consultations
Swimming Plugs
From £95
Hearing Aid Reprogramming
Hearing Protection
From £145
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