Central Auditory Processing Disorder
Central Auditory Processing Disorder (CAPD) is a term to describe how the brain interprets sounds that we hear, for example, the difference in pitch between two sounds.
CAPD, often referred as Auditory Processing Disorder (APD) is where a person can detect sounds at normal levels but can not process the sound information accurately. When this occurs in children it can lead to learning difficulties and sometimes behavioural issues.
A parent, specialist or teacher may suspect a child with CAPD if they have:-
- Difficulty following instruction
- Difficulty understanding speech in the presence of background noise
- Difficulty learning in background noise
- Difficulty with direction of sound (localisation)
- Difficulty with reading and spelling
- Become easily distracted
- Poor verbal skills
- Behavioural and self-esteem issues
What age can we assess for CAPD
CAPD tests can only be performed on children from 7.5 years old plus.
If a child is suspected to have CAPD then he or she can be assessed over two appointments:
- First appointment, 30-45 minutes: Taking a case history to learn about the child’s learning and hearing skills and performing a CAPD hearing test to rule out any undetected hearing loss.
Results of the first appointment will determine whether the second CAPD assessment appointment is required. If yes, a questionnaire will be sent home with you to complete in-conjunction with the teacher. The questionnaire is emailed back to us before the second appointment so our audiologist can prepare the CAPD assessment.
- Second appointment, 90 minutes: Performing a series of Central Auditory Processing Disorder Assessment. Intermittent breaks are provided to ensure the child remains alert and energised.
CAPD assessments are performed in the morning only when a child is more energised and alert. The first and second appointments must be conducted within 3 weeks of each other.
Management of CAPD
Management of CAPD involves a team approach with other professionals such a Speech Pathologists and Teachers. This typically involves three approaches:
- Environment modifications such as seating the child away from distracting noises or using a FM system to reduce unwanted noises
- The use of intervention programs designed to improve auditory processing in children
- Teaching compensatory strategies so the child can cope better in daily listening environments
$170.00 – First appointment* for CAPD Hearing Test, Consultation and Report. Appointment approx 30 minutes. Payment at appointment.
$490.00 – Second appointment* for CAPD Intensive Assessment and Report. Appointment approx 90 minutes. Payment at appointment.
*Appointments for CAPD are booked for 9am or 9.30am only as this is when a child is more energised and alert.
Medicare: NO rebate unless patient has an Enhanced Primary Care Plan referral from their GP. You must submit the receipt to Medicare to receive your rebate.
Health Fund: HiCaps is not available for audiology, thus check with your health fund to see if CAPD is covered under your policy. Receipt with the clinician’s provider number will be provided to claim on your health fund.