--- title: What is Auditory Processing and How Does it Work? description: Learn about auditory processing and auditory processing disorders. image: https://blog.chsc.org/hubfs/2%20ladies%20reading%20at%20table.jpg --- - CHSC Services & Programs - Speech-Language & Literacy - [Services for Adults](https://www.chsc.org/speech-language/speech-language-services-for-adults/) - [Services for Children](https://www.chsc.org/speech-language/speech-language-literacy-services-for-children/) - [Contract Services](https://www.chsc.org/speech-language/community-contract-services-speech-language-literacy/) - [Project ELLA](https://www.chsc.org/speech-language/project-ella/) - Hearing Services - [Hearing Evaluations and Testing](https://www.chsc.org/hearing-services/hearing-evaluations-and-testing/) - [Hearing Aids & Other Hearing Services](https://www.chsc.org/hearing-services/hearing-aids-other-hearing-services/) - [Early Intervention Service](https://www.chsc.org/hearing-services/early-intervention-service/) - 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[Bridgid M. Whitford Au.D, CCC-A](https://blog.chsc.org/blog/author/bridgid-m-whitford-au-d-ccc-a) | Posted on April 25, 2018 ![2 ladies reading at table](https://blog.chsc.org/hs-fs/hubfs/2%20ladies%20reading%20at%20table.jpg?width=275&height=183&name=2%20ladies%20reading%20at%20table.jpg)Auditory processing is basically how hearing works between the ear and the brain. It consists of a specific set of skills that most of us perform without any difficulty – or awareness. These include: **Sound Localization** (determining where a sound is coming from) **Auditory Discrimination** (the ability to hear the difference between words and sounds that sound alike or are acoustically similar) **Auditory Pattern Recognition** (the ability to hear rhythm, stress and intonation in speech) Temporal Aspects of Audition (time-related aspects such as hearing the difference between “cast” and “cats”) **Auditory performance in competing acoustic signals** (listening to different messages in each ear) **Auditory performance with degraded acoustic signals** (the ability to understand the whole message when part of it is missing, such as what happens in background noise)  **What is an Auditory Processing Disorder (APD)?** If a person has difficulty performing auditory processing skills, often they will have difficulties that are noticeable to others. Some common symptoms of APD include: • Normal hearing, yet responds inconsistently to auditory stimuli • Difficulty following long or complicated verbal commands • Requests for information to be repeated often • Poor sound blending (while reading or spelling, may say or read “top” for “stop”, “bend” for “blend”, “tip” for “trip”, etc.) • Trouble paying attention to and remembering verbal information • Poor listening skills • Needs more time to process information • Low academic performance • Behavior problems • Language difficulty (confuses syllable sequences and has problems developing vocabulary and understanding language) • Difficulty with reading, comprehension and spelling **How to Test for ADP** ADP testing is typically scheduled for a 2-hour time period. The time is divided into 3 segments: the first half-hour is spent obtaining a thorough case history, and hour is necessary for testing, and the last half-hour is used to explain the results. If necessary, the session can be scheduled as two separate visits. Testing is completed in a sound-proof booth by an [**audiologist**](https://www.chsc.org/staff/view/category/audiology). We begin with a basic hearing test to rule out hearing loss as the cause for the difficulties. We prefer to conduct testing in the morning, when clients are well-rested. After a day of school or work, it is difficult to concentrate for the length of time required. If the client takes any medications, including those which enhance attention, he or she should take them the day of testing. The auditory processing tests include assessments in 4 major areas Tests in which the signal is compromised (distorted speech or listening with background noise) Tests in which the person must listen to different messages in each ear Tests of timing, in which the person must identify a pattern or hear short changes in time Tests that present part of a message to one ear and part to the other ear – the person must combine them to hear the entire message APD testing should be completed as part of an entire test battery. Other language and learning disorders need to be ruled out in order to get an accurate diagnosis. Tags: [Audiology](https://blog.chsc.org/blog/topic/audiology), [Hearing](https://blog.chsc.org/blog/topic/hearing), [Learning](https://blog.chsc.org/blog/topic/learning) ## Comments ### Blog Categories - [Communication (122)](https://blog.chsc.org/blog/topic/communication) - [Speech (89)](https://blog.chsc.org/blog/topic/speech) - [Language (74)](https://blog.chsc.org/blog/topic/language) - [Hearing (54)](https://blog.chsc.org/blog/topic/hearing) - [talking (47)](https://blog.chsc.org/blog/topic/talking) - [Hearing Loss (43)](https://blog.chsc.org/blog/topic/hearing-loss) - [Audiology (41)](https://blog.chsc.org/blog/topic/audiology) - [Learning (34)](https://blog.chsc.org/blog/topic/learning) - [Hard of Hearing (33)](https://blog.chsc.org/blog/topic/hard-of-hearing) - [Hearing Aids (33)](https://blog.chsc.org/blog/topic/hearing-aids) - [Support (33)](https://blog.chsc.org/blog/topic/support) - [Voice (33)](https://blog.chsc.org/blog/topic/voice) - [toddler (31)](https://blog.chsc.org/blog/topic/toddler) - [Hearing Aid (28)](https://blog.chsc.org/blog/topic/hearing-aid) - [Stroke (19)](https://blog.chsc.org/blog/topic/stroke) - [Hearing Loss Prevention (17)](https://blog.chsc.org/blog/topic/hearing-loss-prevention) - [Caregiving (16)](https://blog.chsc.org/blog/topic/caregiving) - [literacy (16)](https://blog.chsc.org/blog/topic/literacy) - [Brain Injury (15)](https://blog.chsc.org/blog/topic/brain-injury) - [Deaf (15)](https://blog.chsc.org/blog/topic/deaf) - [Speech therapy (15)](https://blog.chsc.org/blog/topic/speech-therapy) - [reading (14)](https://blog.chsc.org/blog/topic/reading) - [Stuttering (13)](https://blog.chsc.org/blog/topic/stuttering) - [Teens (13)](https://blog.chsc.org/blog/topic/teens) - ["ears" (11)](https://blog.chsc.org/blog/topic/ears) - [Communication Access (11)](https://blog.chsc.org/blog/topic/communication-access) - [Stroke recovery (11)](https://blog.chsc.org/blog/topic/stroke-recovery) - [ASL (10)](https://blog.chsc.org/blog/topic/asl) - [American Sign Language (10)](https://blog.chsc.org/blog/topic/american-sign-language) - [Interpreting (7)](https://blog.chsc.org/blog/topic/interpreting) - ["tinnitus" (6)](https://blog.chsc.org/blog/topic/tinnitus) - [ASL Interpreter (6)](https://blog.chsc.org/blog/topic/asl-interpreter) - [Wilson Reading Program (6)](https://blog.chsc.org/blog/topic/wilson-reading-program) - [Aphasia (5)](https://blog.chsc.org/blog/topic/aphasia) - [Early Intervention (5)](https://blog.chsc.org/blog/topic/early-intervention) - [Ear Anatomy (3)](https://blog.chsc.org/blog/topic/ear-anatomy) - [Ear Pain (3)](https://blog.chsc.org/blog/topic/ear-pain) - [Primary Progressive Aphasia (3)](https://blog.chsc.org/blog/topic/primary-progressive-aphasia) - [Reading Summer Camp (3)](https://blog.chsc.org/blog/topic/reading-summer-camp) - [earplugs (3)](https://blog.chsc.org/blog/topic/earplugs) - [Autism (2)](https://blog.chsc.org/blog/topic/autism) - [Cochlear Implants (2)](https://blog.chsc.org/blog/topic/cochlear-implants) - [Deafness (2)](https://blog.chsc.org/blog/topic/deafness) - [Donations (2)](https://blog.chsc.org/blog/topic/donations) - [Donors (2)](https://blog.chsc.org/blog/topic/donors) - [Ear Wax (2)](https://blog.chsc.org/blog/topic/ear-wax) - [Medicare (2)](https://blog.chsc.org/blog/topic/medicare) - [Wills (2)](https://blog.chsc.org/blog/topic/wills) - [planned giving (2)](https://blog.chsc.org/blog/topic/planned-giving) - [tantrum (2)](https://blog.chsc.org/blog/topic/tantrum) - [Accent Modification (1)](https://blog.chsc.org/blog/topic/accent-modification) - [Baby Sign Language (1)](https://blog.chsc.org/blog/topic/baby-sign-language) - [Cleft Lip (1)](https://blog.chsc.org/blog/topic/cleft-lip) - [Cleft palate (1)](https://blog.chsc.org/blog/topic/cleft-palate) - [Dyslexia (1)](https://blog.chsc.org/blog/topic/dyslexia) - [Face masks (1)](https://blog.chsc.org/blog/topic/face-masks) - [R speech therapy (1)](https://blog.chsc.org/blog/topic/r-speech-therapy) - [baby (1)](https://blog.chsc.org/blog/topic/baby) - [dbhc (1)](https://blog.chsc.org/blog/topic/dbhc) - [hearing test (1)](https://blog.chsc.org/blog/topic/hearing-test) - [mental health (1)](https://blog.chsc.org/blog/topic/mental-health) - [ultrasound (1)](https://blog.chsc.org/blog/topic/ultrasound) - [ultrasound speech therapy (1)](https://blog.chsc.org/blog/topic/ultrasound-speech-therapy) see all ### Authors - [Cleveland Hearing & Speech Center (32)](https://blog.chsc.org/blog/author/cleveland-hearing-speech-center) - [Bridgid M. Whitford Au.D, CCC-A (25)](https://blog.chsc.org/blog/author/bridgid-m-whitford-au-d-ccc-a) - [Sharon Dundee (21)](https://blog.chsc.org/blog/author/sharon-dundee) - [Michelle Foye, MA CCC-SLP (13)](https://blog.chsc.org/blog/author/michelle-foye-ma-ccc-slp) - [Alicia Verhovitz, M.A., CCC-SLP (10)](https://blog.chsc.org/blog/author/alicia-verhovitz-m-a-ccc-slp) - [Megan Ahlman, M.A. CCC-SLP (9)](https://blog.chsc.org/blog/author/megan-ahlman-m-a-ccc-slp) - [Lauren Masuga, M.A., CCC-SLP (5)](https://blog.chsc.org/blog/author/lauren-masuga-m-a-ccc-slp) - [Linda Lange, Assistant Director of Speech Language & Learning Services (4)](https://blog.chsc.org/blog/author/linda-lange-assistant-director-of-speech-language-learning-services) - [Akilah Porter, Marketing Coordinator (4)](https://blog.chsc.org/blog/author/akilah-porter-marketing-coordinator) - [Tracy Biller, M.A., CCC-SLP Speech-Language Pathologist; Adult Services Coordinator (4)](https://blog.chsc.org/blog/author/tracy-biller-m-a-ccc-slp-speech-language-pathologist-adult-services-coordinator) - [Akilah Porter (3)](https://blog.chsc.org/blog/author/akilah-porter) - [Rachel Lester, BS, Audiology Intern (3)](https://blog.chsc.org/blog/author/rachel-lester-bs-audiology-intern) - [Rebecca Mental, Ph.D., CCC-SLP Director of Speech, Language, and Learning Services (3)](https://blog.chsc.org/blog/author/rebecca-mental-ph.d.-ccc-slp-director-of-speech-language-and-learning-services) - [Jennell C. Vick, Ph.D., CCC-SLP (3)](https://blog.chsc.org/blog/author/jennell-c.-vick-ph.d.-ccc-slp) - [Stephanie Vondra, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/stephanie-vondra-m.a.-ccc-slp) - [Michelle Foye, M.A., CCC-SLP, Director of Speech Language & Learning Services (2)](https://blog.chsc.org/blog/author/michelle-foye-m-a-ccc-slp-director-of-speech-language-learning-services) - [Kacey Riga, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/kacey-riga-m-a-ccc-slp) - [Chana Feinstein, M.A., CCC-SLP (2)](https://blog.chsc.org/blog/author/chana-feinstein-m-a-ccc-slp) - [Michelle Kurfiss M.A. CCC-SLP (2)](https://blog.chsc.org/blog/author/michelle-kurfiss-m-a-ccc-slp) - [Casey Ring, CCDHH Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-ccdhh-learning-center-manager) - [Samantha Taylor (1)](https://blog.chsc.org/blog/author/samantha-taylor) - [Dalit Burgess, Coordinator of School Services, Senior Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/dalit-burgess-coordinator-of-school-services-senior-speech-language-pathologist) - [Rebecca Mental, Ph.D., MPH, CCC-SLP (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-mph-ccc-slp) - [Jordan Brian, Sign Language Interpreter (1)](https://blog.chsc.org/blog/author/jordan-brian-sign-language-interpreter) - [Dalit Burgess, M.S., CCC-SLP, Senior Speech-Language Pathologist; Coordinator of Professional and School Services (1)](https://blog.chsc.org/blog/author/dalit-burgess-m-s-ccc-slp-senior-speech-language-pathologist-coordinator-of-professional-and-school-services) - [Maria O’Neil Ruddock, Psy.D. (1)](https://blog.chsc.org/blog/author/maria-oneil-ruddock-psy-d) - [Jennell Vick, Ph.D., CCC-SLP (1)](https://blog.chsc.org/blog/author/jennell-vick-ph-d-ccc-slp) - [Michelle Parker-Armstrong, Office Coordinator for CCDHH (1)](https://blog.chsc.org/blog/author/michelle-parker-armstrong-office-coordinator-for-ccdhh) - [Jonathan Plessner, CCC-SLP (1)](https://blog.chsc.org/blog/author/jonathan-plessner-ccc-slp) - [Elizabeth Divis, M.A. CCC-SLP (1)](https://blog.chsc.org/blog/author/elizabeth-divis-m-a-ccc-slp) - [Sarita Cornwall, Support Services & Community Outreach Specialist (1)](https://blog.chsc.org/blog/author/sarita-cornwall-support-services-community-outreach-specialist) - [Ruth Clark, MA., CCC-A (1)](https://blog.chsc.org/blog/author/ruth-clark-ma-ccc-a) - [Carol Theil, CCC-SLP (1)](https://blog.chsc.org/blog/author/carol-theil-ccc-slp) - [Jerry Hayes, PsyD and Maria O’Neil Ruddock, PsyD (1)](https://blog.chsc.org/blog/author/hayes-oneil) - [Angela Gartner, Editor, NEO Parent Magazine (1)](https://blog.chsc.org/blog/author/angela-gartner-editor-neo-parent-magazine) - [Reprinted with permission from the Annie E. Casey Foundation (1)](https://blog.chsc.org/blog/author/reprinted-with-permission-from-the-annie-e-casey-foundation) - [Anne M. Calic MA CCC-SLP (1)](https://blog.chsc.org/blog/author/anne-m-calic-ma-ccc-slp) - [Jessica Blakeman CCC-SLP, Speech-Language Pathologist, (1)](https://blog.chsc.org/blog/author/jessica-blakeman-ccc-slp-speech-language-pathologist) - [Rebecca Mental, Ph.D., CCC-SLP, Director of Research and Jonathan Plessner, M.A., CCC-SLP, Speech-Language Pathologist (1)](https://blog.chsc.org/blog/author/rebecca-mental-ph-d-ccc-slp-director-of-research-and-jonathan-plessner-m-a-ccc-slp-speech-language-pathologist) - [Debbie Dey (1)](https://blog.chsc.org/blog/author/debbie-dey) - [Casey Ring, Learning Center Manager (1)](https://blog.chsc.org/blog/author/casey-ring-learning-center-manager) - [Kellie Vaughan, M.A., CCC-SLP (1)](https://blog.chsc.org/blog/author/kellie-vaughan-m-a-ccc-slp) - [Dr. Jennell C. Vick (1)](https://blog.chsc.org/blog/author/dr-jennell-c-vick) see all [Request an Appointment](https://share.hsforms.com/1H4Q3P8MbSnma6-uuosE5Qg1y7i5) [Please Donate Your support means so much](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center) [Book an Interpreter](http://www.chsc.org/american-sign-language-interpreting-services/interpreting-services-for-individuals/) ### SUBSCRIBE TO OUR NEWSLETTER Receive CHSC news and events and other important communication updates directly to your inbox. - [![Facebook](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/facebook.svg)](https://www.facebook.com/clevelandhearingandspeechcenter) - [![X](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/x.svg)](https://twitter.com/clevehearspeech) - [![LinkedIn](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/linkedin.svg)](https://www.linkedin.com/company/cleveland-hearing-%26-speech-center/) - [![YouTube](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/youtube.svg)](https://www.youtube.com/user/chscdevelopment?feature=watch) - [![Flickr](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/flickr.svg)](https://www.flickr.com/photos/clevelandhearingandspeech) ##### Menu - [Audiology](http://www.chsc.org/audiology) - [Hearing Aids](http://www.chsc.org/hearing-aids) - [Speech & Language](http://www.chsc.org/speech-language) - [ASL Interpreting](http://www.chsc.org/american-sign-language-interpreting-services) - [Community Center (CCDHH)](http://www.chsc.org/community-center-for-the-deaf-hard-of-hearing) - [Resources](http://www.chsc.org/resources) - [About](http://www.chsc.org/about/about-chsc) - [Giving](http://www.chsc.org/giving) - [Events](http://www.chsc.org/ways-to-give/fundraising-events) - [Contact](http://www.chsc.org/contact) - [Schedule an Appointment](http://www.chsc.org/contact) - [Donate](https://transactions.chsc.org/CampaignForm/CHSC/Cleveland+Hearing+and+Speech+Center) ![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png) ##### Accreditations and Affiliations - [Commission on Accreditation of Rehabilitation Facilities](http://carf.org) - [Certified Medicare and Medicaid Provider](https://www.cms.gov/) - [National Association of Speech and Hearing Centers](http://www.nashc.net/) - [Registry of Interpreters for the Deaf](http://www.rid.org/) - [Case Western Reserve University](https://case.edu/) - [United Way of Greater Cleveland](https://www.unitedwaycleveland.org/) ##### Contact Information 11635 Euclid Ave. Cleveland, OH 44106 Voice: (216) 231-8787 Appt: (216) 325-7570 Fax: (216) 231-7141 [info@chsc.org](mailto:info@chsc.org) ![CARF](https://blog.chsc.org/hubfs/CHSC-Nov2017/Images/carf-logo.png) - [Corporate Information](http://www.chsc.org/corporate-information) - [HIPAA](http://www.chsc.org/hipaa-cleveland-hearing-speech-center) - [Privacy Policy](http://www.chsc.org/privacy-policy) - [Terms & Conditions](http://www.chsc.org/terms-and-conditions) - 501c3 Non-Profit © 2017 Cleveland Hearing & Speech Center. 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