Does Your Child Have a Central Auditory Processing Disorder

There are children with normal hearing but but have trouble paying attention to, remembering, and utilizing auditory information for academic and social purposes. Many of these children have a Central Auditory Processing Disorder.

Central Auditory Processing Disorders may have a very negative impact on a child’s language acquisition, social skill development, and school performance. These children can hear well but have trouble interpreting the sounds that they hear.

Some researchers feel that many children are misdiagnosed with ADHD and actually have a Central Auditory Processing Disorder. This condition is particularly common if the child has other sensory integration disorders, such as touch sensitivity. In addition, children with ADHD may also have a Central Auditory Processing Disorder.

What is a Central Auditory Processing Disorder
A Central Auditory Processing Disorder is an impaired ability to attend to, discriminate, remember, recognize, or comprehend auditory information in individuals who typically exhibit normal intelligence and normal hearing.

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When a person is exposed to a sound, the ears detect the sound and transmit the information to the auditory part of the central nervous system. In various parts of the central nervous system the sound stimulus is processed. In the end, the listener will know the direction from which the sound comes, identify the type of sound, be able to separate the sound from background noise, and interpret the sound. The listener stores the memory of this sound stimulus and develops a mental sound library, which he uses to help him evaluate, interpret, and utilize new sound information that he experiences in the future.

When a child has a Central Auditory Processing Disorder he has an impaired ability to attend to, discriminate, remember, recognize, or comprehend auditory information. These processing difficulties become more pronounced in challenging listening situations, such as noisy backgrounds or poor acoustic environments, great distances from the speaker, speakers with fast speaking rates, or speakers with foreign accents.

What the Child Experiences

Distorted Speech Sounds
Nobody talks the same way. There are always slight variations in pronunciation and emphasis that makes one person’s speech patterns differ from those of another. In order to understand the speech of other people, a child must make a series of mental adjustments. First he hears words. Then based upon his memory of similar sounds, he places the sounds of the words in context and decodes the meaning that is being conveyed.

In a child with a Central Auditory Processing Disorder there is a break somewhere in this decoding process. The child isn’t able to derive the correct meaning from words because he cannot accommodate the different distortions of different speakers.

Excess Background Noise
When we are in a noisy room, we need to block out the extraneous noise in order to distinguish and understand words that are being spoken to us. One way we do this is by pinpointing the location of the voice of the speaker and neurologically suppressing the sounds coming in from other locations. A child with a Central Auditory Processing Disorder may have difficulty pinpointing sounds. With this in mind it is understandable why he can’t block out extraneous noise. As a result a child with a Central Auditory Processing Disorder appears to be easily distracted.

Misses Social Cues
Speech can be very complicated. Beyond understanding simple instructions there are the nuances of language usage that help convey the true meaning of the message being transmitted. It is these nuances that allow for social interactions. A child with a Central Auditory Processing Disorder may have a deficit in receiving and understanding the meaning of sounds. Such a child will be very slow to follow the complexity of the message that is conveyed by particular word usage and tones of speech.

Like other sensory motor defects, Central Auditory Processing Disorders rarely occur alone. A child who cannot effectively suppress extraneous noise may also not be able to use his eyes to track words across a page or co-ordinate his fine muscles in his hand to write easily.

Since a child with a Central Auditory Processing Disorder may not be able to block out meaningless noise, he may appear to the observer to be easily distractible. This is one of the reasons children with a Central Auditory Processing Disorder may be misdiagnosed with ADHD. However, if a Central Auditory Processing Disorder child also has ADHD and so that he already has a deficit of inhibition, then the effects of his Central Auditory Processing Disorder are much worse.

Children who have Central Auditory Processing Disorders may behave as if they have a hearing loss. Here are some of the common behaviors displayed by children who have Central Auditory Processing Disorders:

Don’t respond to speech in a consistent fashion

Frequently ask for words to be repeated

Difficulty following speech in noisy surroundings

Frequently misunderstand what is said

Difficulty following long directions

Poor memory for verbal information

Difficulty pinpointing the direction from which sound is coming

History of middle ear infection

School Performance

In addition, children with Central Auditory Processing Disorders show many of these characteristic deficits in school performance:

Difficulty expressing themselves

Difficulty understanding language

Poor reading, writing, and spelling

Poor phonics

Poor speech sound discrimination

Difficulty taking notes

Difficulty learning foreign languages

Poor short-term memory

Social or behavioral problems

Poor language skills

Poor academic skills.

An audiologist uses a battery of tests to evaluate the peripheral and central auditory systems. Peripheral hearing tests are used to determine if the child has a hearing loss, and, if so, the degree to which the loss is a factor in the child’s learning problems. Central auditory tests evaluate the child’s ability to understand and respond to mild distortions of speech. It is also helpful to have a speech pathologist evaluate the child’s perception of speech and receptive-expressive language use.

Treatment Standard treatment focuses on remedial help and splinter skills to expand upon the child’s strengths.

There are now a number of new treatment techniques that directly address the hearing deficits. The pioneer of these techniques was Dr. Alfred Tomatis, who began treating Central Auditory Processing Disorders over forty years ago.

Auditory Integration Training is another effective technique. This program was developed by the French otolaryngologist, Dr. Guy Berard, one of Tomatis’s students.

Finally, we should mention The Listening Program, a technique that you can apply at home.


Anthony Kane, MD has been helping parents of ADHD and Oppositional Defiant Disorder children online since 2003. Join over three thousand parents and get help for your Oppositional Defiant Disorder child, help with defiant teens ( ) ADHD treatment and ADHD information .

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Itchy Skin Parasites That Drive You Crazy

Rare skin parasites, causing relentless itchy skin, suffered by thousands of people world wide are becoming more common. The itching is so intense and relentless that the only relief is to take near scalding baths several times a day to keep the vermin at bay.

How are the itchy skin parasites contracted? One lady contracted them from a bird nest she knocked down from a window. Another lady along with her husband contracted them from furniture they rented while their furniture was in transit. One fellow contracted them from a dust cloud while cutting down a dead tree. Another woman removed a nest of mice from a comforter stored in her garage and contracted them. Exchanging dresses at a wedding with another bridesmaid was the downfall of another lady. One woman even says she contracted it from a fellow sitting across from her at a meeting at work. She claims to have seen droplets coming from his mouth as he spoke. My own personal hell started when I had a cloud of dust descend upon me as I pulled a strangulating vine from a tree in my back yard.

Onset of symptoms usually starts approximately twenty-four to thirty-six hours after exposure. The initial symptoms are an itching of the skin driving the individual to a hot bath to relieve the symptoms. Unfortunately within several hours the intense itching returns. Anti itch creams only provide respite for a few hours.

Usually there’s very little to be seen by the naked eye, except perhaps some notice their skin sparkling in the sun light. Within a few days, as the symptoms become more severe, the itching develops into a biting sensation which feels as if it’s from under the skin resulting in rashes and lesions developing everywhere.

The family doctor usually prescribes Elimite, Diprolene, Quell, Cortisone, sulfa drugs… and antibiotics for the rash. There instant relief for up to about four days and then the itchy skin symptoms return in full force. It’s almost as if the parasites adapt and become immune to the barrage of treatments.

Next, the family doctor refers the individual to a dermatologist or a specialist. The dermatologist or specialist is often at loss to explain the physical condition. Because he can’t diagnose anything, he often suggests the problem is caused by stress or because the lesions are being scratched by one’s fingernails.

After pleading, he may take a plug sample for biopsy and a sample of blood. The sufferer finally thinks that the results of the test will identify the offending organism and begins to anticipation the results of the tests so the right treatment can be prescribed.

However, the blood test comes back basically normal except for a slight elevation in the CBC which may indicate a slight infection–nothing for alarm. And the results of the biopsy are likewise negative. The individual begins to think that he/she is living a bad dream.

Unknowingly while all this is happening, the sufferer’s environment–that is the entire home including all furniture, bedding, clothing… is infected. Some sufferers begin to notice black specs or a gritty material in their bedding or they notice fibers emerging from some of the lesions and cotton ball like material on their skin.

Their desperation and panic results in all kinds of de-wormers, herbal remedies, chelation therapy and or removal of amalgam from filings in their teeth to remove mercury, medications from Mexico, faith healing, rifing… most to no avail.

The offending parasites are generally one or more of several skin parasites:
1. Collembola (spring tails)
2. Strongyloides stercoralis
3. Morgellons
Unfortunately the fact is that nearly all physicians are totally inexperienced with the treatment of these pathogens and for two of them there are no diagnostic tests available. And ironically the one that can be identified (the strongyloides) is a rare nematode requiring a wormer which again physicians are inexperienced in its treatment.

How they are contracted is generally from skin contact with:
Bed bugs.
Iinfected clothing, furniture, jewelry…

The Strongloides has a life cycle where they exist internally and part of their life cycle takes some of them onto one’s skin where they can contaminate others. So even though they can initially be spread by bed bugs and mites, they can also be spread simply with warm skin contact with an infected garment or furniture.

Sexual contact is unnecessary for transmission–simple skin contact is all that’s required.

Long term exposure can result in complications of memory loss, joint pain, brain fog, Fibromyalgia, ADHD, bipolar disorder… However, it is unknown as to whether these complications are solely from the skin parasites or because of the accompanying Lyme disease and protozoan infections that often accompany the skin parasites.

Once infected with the skin parasites a lot of hard work is required to take your life back.
1. Disinfection of all surroundings, bedding, clothing, jewelry, automobile, work stations…
2. A bathing protocols using Epson salts followed by wiping the body with tea tree oil and the use of 999 cream (available in Chinese stores).
3. The parasite/Lyme diet which is high in protein and zero in most popular carbohydrates such as fruits, wheat… The skin parasites have food preferences. There are foods that they enjoy and they reward you for feeding them with biting and itching and there are foods that starve them. It required three years to discover and perfect the diet. Fortunately it’s been reported to work with all known types of skin parasites. It is also this special diet that allows the next item to create magic.
4. Using ORAP or one of several other prescription medications can successfully eradicate many of the vermin.

Yes, life can come back to normal from these itchy skin parasites and you can awaken from this bad dream and all the directions are in an e-book entitled Soothing the Itch Within and the Diet to Control It.