After sound passes through the ear and reaches the brain, the brain must be able to do these things:

• Identify the direction the sound comes from (sound localization) 
• Recognize whether two sounds are the same or different 
• Determine what sounds are high and low pitched 
• Recognize breaks between sounds in words as well as breaks between words in sentences (temporal aspects of audition) 
• Easily understand speech through background noise or if the speech is muffled

Children often are referred for (C)APD testing because they have a hard time with one or more of the following: 

• Listening in noisy situations 
• Following simple and complex spoken directions
• Paying attention 
• Mixing up sounds in words 
• Remembering what was said 
• Learning

(C)APD can occur along with other disorders, such as: 

• Speech-language impairments 
• Reading and learning disabilities 
• Attention Deficit Hyperactivity Disorder (ADHD)

At Children’s, we have a team of specialists who work together to diagnose and treat a number of hearing and auditory processing disorders in children. Our auditory processing disorder program uses a team approach because we believe it’s the best, most effective approach to diagnosis and treatment.

Diagnosing central auditory processing disorders is difficult because behaviors that children with (C)APD display can be similar to behaviors typically found in other disorders. Our specialists have years of experience diagnosing difficult cases and treating children. We work closely with specialists throughout the hospital to make sure your child gets the right diagnosis and the best treatment.

Children's audiologists do many things, including:

• Test for hearing loss 
• Test to see if both ears are working together to process sounds 
• Test how the brain interprets sound when the sound is distorted, such as when background noise is present

Speech-language pathologists determine whether children can: 

• Make speech sounds 
• Understand and use vocabulary 
• Understand and use sentences and grammar 
• Remember what has been said 
• Put sentences together to express thoughts and ideas (speaking and writing)

Psychologists review children's: 

• Intelligence 
• Attention 
• Behavior 
• Memory

Before your first visit, we will send you an intake packet to complete and mail back to us. If interested in APD testing, please contact Audiology at (414) 266-2934 to obtain an intake packet. Note: If you have not been seen at Children's Wisconsin before, you will need to contact Central Scheduling first at (414) 607-5280 to register. We will also ask that you send any results from other evaluations and school information. Once we’ve received your paperwork, we will review it and make recommendations about which professionals your child should meet with in relation to our Auditory Processing Disorder Program. Someone from our office will call you to schedule testing with various professionals.

After your first appointment, our team will meet again to discuss results and make recommendations for your child. After we’ve met, we will send you copies of the written reports from each professional your child met with.