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 Faculty of Health Sciences - sbf@gelisim.edu.tr

Audiology








 Central Auditory Processing Disorders Should Not Be Overlooked in Differential Diagnosis


Assoc. Prof. Mustafa Çelik, a faculty member of the Department of Audiology at Istanbul Gelişim University, highlighted the essential diagnostic criteria for central auditory processing disorders (CAPD), providing insightful contributions to the differential diagnosis process.


Central auditory processing disorders (CAPD) are significant clinical conditions that may manifest in children through academic underperformance, attention deficits, and difficulties in social communication. Audiologists play a crucial role in the diagnosis of this condition.
 
CAPD occurs as a result of a neurological disruption in the brain's ability to process and interpret sounds, even though the individual's hearing thresholds are within normal limits. Children with CAPD may struggle to follow verbal instructions, differentiate speech sounds, or maintain attention in classroom environments. As CAPD symptoms can overlap with other conditions such as autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD), auditory neuropathy, and specific learning disabilities, a careful differential diagnosis is essential.
 
Audiologists Play a Critical Role

A definitive CAPD diagnosis can only be made through detailed patient history and comprehensive audiological assessments. A multidisciplinary approach involving child psychiatrists, ENT specialists, and educators is recommended. Teachers often play a key role by identifying auditory attention issues that affect a student’s academic and social development. Early communication with families is vital for timely diagnosis and intervention.
 
Recognizable Symptoms of CAPD

Children with central auditory processing disorders may exhibit the following symptoms:
 
  • Inability to fully understand and follow verbal instructions
  • Difficulty maintaining attention and focusing during lessons
  • Poor performance in artistic activities such as music and drawing
  • Low academic achievement
  • Monotonous or expressionless speech patterns
 
These symptoms can negatively impact a child’s overall development, making expert evaluation crucial.
 
Diagnosis and Treatment Process

CAPD diagnosis is made using behavioral tests, electrophysiological assessments, and detailed audiological analyses. A comprehensive patient history, often provided by the family, is a key element in identifying the disorder. Once diagnosed, children typically undergo individualized auditory rehabilitation programs, which have shown high success rates.
 
In addition, psychological support for both the child and their family may be beneficial in improving treatment adherence and outcomes. Active family involvement plays a significant role in the child’s developmental progress.