APD Therapy / Intervention Services

APD is treatable. Scientists have proven that neural pathways and synapses in the brain change as a result of behavior, sensory input, and training. This neural reorganization is referred to as neuroplasticity. Auditory therapy takes advantage of the fact that neural responses to sound can be changed intentionally through intensive listening exercises. With the correct type of intervention, people with APD can improve their skills, and some types of APD can be completely remediated.

We offer APD therapy for both children and adults. At Auditory Processing Center, individuals struggling with listening comprehension, reading, and learning receive highly individualized treatment to overcome their learning challenges and reach their full potential to compete in a classroom setting. Auditory processing is too complicated for one approach to work for all individuals. Auditory Processing Center offers a wide variety of treatment programs and personalized activities to address each individual’s specific auditory deficits. The type, frequency, and intensity of therapy will vary with each child or adult based on the specific type(s) of auditory processing issues identified. We offer in-clinic therapy, online therapy, guided home-based treatment, and one-on-one teletherapy for auditory processing disorders. Our reports provide highly detailed recommendations for treatment tailored to enhance your child’s development of essential listening skills. This often incorporates a wide range of auditory processing goals and activities, a serial progression of targeted therapies one at a time or used concurrently, recommendations for activities to do at home, suggested apps and software programs, effective teaching strategies, and specific goals designed to collaborate with any speech-language pathologists working with your child.

APD Therapy / Intervention Services - Cooper strong listening skills

Auditory Processing Center offers:

Deficit-specific auditory training sessions to improve auditory processing. Treatment goals are individualized and may include the following:

  • Therapy to improve dichotic listening skills. The ears must work well together as a team, and it is quite common for individuals with auditory processing disorder to have deficits in this area. With dichotic listening tasks, the listener hears two different signals presented simultaneously, one to each ear, and is asked to attend to one (separation) or both (integration) signals. This requires that the two cerebral hemispheres work together. Auditory Processing Center offers Dichotic Listening Therapy to treat auditory integration deficits (where the relationship between different pieces of information cannot be recognized) and improve the accuracy and efficiency with which auditory information is transmitted to different regions of the brain. Auditory Processing Center is also one of only a handful of sites in the nation offering ARIA (Auditory Rehabilitation for Interaural Asymmetry), a program developed by Deborah W. Moncrief, Ph.D., CCC-A. This program incorporates dichotic listening therapy to treat amblyaudia, a condition where a child develops a dominant ear that suppresses sound information coming from the other side, creating a “lazy ear.”
  • Auditory decoding and phoneme training exercises – such as improving auditory discrimination, phonemic awareness (sound segments that comprise words), phonemic training with Buffalo Model Therapy, multi-sensory phoneme training using right brain teaching strategies, or Auditory Processing Center’s phoneme and discrimination training curriculum.
  • Auditory short-term memory – such as memory span, memory duration training, working memory, auditory sequencing, and organization activities.
  • Auditory closure – This involves improving the brain’s ability to recognize a message when some of the information is distorted or missing, such as processing filtered speech or using context to fill in words to complete sentences.
  • Speech-in-noise/auditory figure-ground therapy and/or background noise desensitization. Difficulty hearing in background noise is a very common complaint in individuals with APD. However, the problem can arise from deficits in different mechanisms, and treatment must be individualized to be effective. Activities may include noise desensitization activities, words in noise training, sentence understanding in noise, and auditory comprehension in noise.
  • Auditory vigilance training to improve attention span and focus when listening to ongoing speech.
  • Inter-hemispheric transfer activities that require rapid transfer of information between brain hemispheres stimulate the corpus callosum (the nerve fiber bundle connecting the left and right cerebral hemispheres). Examples may include verbal labeling of tonal patterns, tasks requiring multiple modalities and brain areas and cross-midline movements while performing auditory-verbal tasks.
  • Localization and spatial hearing training to improve the ability to recognize where sounds are coming from and use these cues to be able to hear better in noise.
  • Temporal processing training.  Temporal processing refers to processing changes to the auditory signal over time. This may include (1)temporal sequencing to improve deficits in processing pitch changes or the ordering of sounds (such as pitch and duration pattern recognition), (2) temporal resolution (such as gap detection) to improve the brain’s ability to detect a brief gap between two stimuli, a skill needed to determine when one sound stops and another starts, and (3) processing the rapidly changing acoustic features of speech (such as time-compressed speech).
  • Prosody training – recognition of features that affect the accurate processing of tone of voice cues (such as frequency, intensity, and duration) in the prosody cues of speech that convey the intent of a message.
  • Auditory comprehension, auditory cohesion, and higher-level language processing activities.

Virtual auditory processing services. We offer Teletherapy for APD one-on-one with our audiologists for individuals without access to a specialist in their area. We are currently providing teletherapy services for patients living in Mississippi, Louisiana, Florida, and Alabama.

At Home Auditory Processing Therapy Programs:

  • Online programs are monitored through Auditory Processing Center while exercises are implemented at home. This includes Fast ForWord an innovative one-of-a-kind evidence-based reading and language program that “rewires” neurological pathways using personalized, adaptive auditory training exercises while teaching executive function skills to strengthen memory, sequencing and attention. The Safe and Sound Protocol, a therapeutic listening program to retune the nervous system to reduce negative emotional responses to sound, improving control of physiological state and Vagal regulation. The specially processed music in the program has the effect of reducing stress, anxiety, and auditory sensitivity while enhancing social engagement and resilience. L.A.C.E – Listening and Communication Enhancement-Online, an interactive browser-based auditory training program designed for adolescents and adults delivered in 11 training sessions to practice processing speech in noise, focusing on a specified talker, understanding rapid speech, and remembering words in addition to learning communication strategies.
  • On-demand auditory training with self-paced, online learning modules. We offer an on-demand auditory training program through APD Support that is a series of self-paced, online learning modules to improve auditory skills at home. APD Support On-Demand Auditory Training is a 12-week course consisting of 50 minutes of activities each week based on Jack Katz’s Buffalo Model Therapy.  This approach emphasizes building a solid foundation in four skill areas (phoneme training, phonemic synthesis, speech in noise, and auditory memory).  It has extensive, incremental training on phonemes to create better phonemic boundaries for sounds that are vague, indistinct, or overlap with other sounds; exercises to improve the ability to recall and blend a sequence of phonemes by listening only; auditory memory and working memory/organization recall exercises; and activities for improving word recognition noise while improving tolerance for noise. This is an option for children ages 12 and older and adults who otherwise are unable to access therapy in person or virtually through weekly teletherapy, either due to cost or accessibility. Since it is a prerecorded curriculum designed like a course, it is not as customized as in-person auditory training. In addition, it is not a complete therapy alternative and does not treat all aspects of APD.  However, it provides a structured learning path to build a strong foundation that lays the groundwork for further individualized interventions.  If you are interested in purchasing this program or learning more about it, contact us.
  • Guided home therapy programs through our patient portal. We offer at-home practice using exercises and audio recordings organized into learning modules to be completed at home. Programs are customized and assigned based on each listener’s auditory processing deficits. This gives parents or speech-language pathologists access to deficit-specific lessons that guide the child through gradually more challenging tasks. Current programs include online binaural separation in noise training, words in noise training, and time-compressed speech training.
  • Software therapy programs and apps targeting individual weaknesses. There are numerous apps that can be beneficial to target auditory processing deficits. A combination of apps or online programs are often used for at-home practice.
  • We also offer supplemental activities sent to parents with materials to provide process-specific training for auditory process(es) shown to be deficient. Activities are customized to target auditory processing weaknesses using a combination of apps, worksheets, and audio recordings with score sheets.

Auditory training for children and adults with hearing aids or cochlear implants. Hearing aids and cochlear implants neither return the auditory system to normal nor provide a perfect signal. Auditory therapy is necessary to facilitate the brain’s ability to learn to use the incoming sensory input.  Some adults have shown a gradual progression in hearing loss as they age, and over time, as their perception of the auditory signal has changed, the speech sound representations in the brain have become vague, indistinct, or overlap with other sounds.  In addition to sensorineural hearing loss, some hearing-impaired individuals also have coexisting auditory processing disorders. Through a serial progression of targeted therapy, the brain can be retrained to recognize speech sounds effectively and improve the ability to filter out background noise. For children, Auditory Processing Center offers listening and spoken language therapy. Auditory skills are developed using a hierarchy of listening activities to facilitate listening and spoken language development. For hearing-impaired adults, we offer auditory training in person, through teletherapy, or with online therapy programs. Auditory training is an essential component that empowers users to effectively adapt to their devices, harnessing the full potential of their hearing technology and maximizing the benefits they receive.

Assistive Listening Devices including Remote Microphone Systems / FM Systems to improve the listener’s ability to understand speech and hear in background noise. We offer free in-office demonstrations so that you can see the benefits firsthand and have remote microphone systems available for short term rental.

Hearing Aids and Hearing Assistive Technology. In addition to hearing aid fittings for those with hearing loss, we specialize in fitting low-gain hearing aids for auditory processing disorders. Auditory Processing Center offers Roger accessory remote microphones to use in combination with hearing aids, demonstrations of Roger technology, and hearing aid repair.

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