Portland APD

Portland APD Portland APD provides in-depth audiological evaluation of auditory processing skills to children and adults in Oregon and SW Washington.

Persons with auditory processing disorders have difficulty comprehending speech in noise even though they have normal peripheral hearing sensitivity. Testing for APD uses advanced tests that stress auditory capabilities. Portland APD is a specialized audiological practice that focuses only upon evaluations of children and adults with suspected auditory processing disorders.

09/16/2024

This page is redundant. Please look at the page for Portland Auditory Processing Diagnostics instead.

03/06/2024

As of March 15, 2024, Portland APD will be back and evaluating patients. At this time Portland APD is accepting patients over the age of 12 for full auditory processing evaluations. To schedule an evaluation, or discuss whether an evaluation is the next appropriate step for you, please call 503-806-1498 or email [email protected].

04/05/2023

Portland APD is closed right now. I have sort-of retired. I am taking 2023 off, and am not accepting new clients. At the end of 2023, I will decide whether or not to come back to APD testing part-time in 2024 or not. I may go to full-time retirement, or I may decide to return to APD testing on a limited basis. If I do reinvigorate Portland APD, I will be accepting only adult clients (age 12 and up). There are other providers who want to test children, but it is hard to find someone to evaluate adults. You might want to talk with Judith Belk if you are seeking an evaluation for your child now. I'll put up another announcement late this year about Portland APD's 2024 plans. Thank you for your patience.

The blog of one of the groups that I belong to -- the International Guild of Auditory Processing Specialists -- included...
04/26/2019

The blog of one of the groups that I belong to -- the International Guild of Auditory Processing Specialists -- included a great set of recommendations from Dr. Jack Katz, and I want to include it here for others to see who are not part of IGAPS. If you want to read other blog posts by Dr. Katz, you can find them here: https://igapsauditoryprocessingblogs.wordpress.com/

Accommodations/Modifications for Auditory Processing Weaknes
ses

General Recommendations
1. Speech leaves the speaker’s mouth and thins out in all directions. So, distance from the speaker’s mouth to the listener’s ears is extremely important.

2. Most of the energy goes forward from speaker’s mouth. So, when possible speak close by and face-to-face with her to give her the most and most accurate speech message.

3. Speech from another room is dramatically reduced by the walls and the small opening. This is especially true for the high pitched (extremely important) speech sounds.

4. The person who initiates the conversation must go to the listener. But, if the person with auditory weakness talks to you from another room remind them to come to you using any predetermined code (Example: you can say “Rule 32”)

5. When looking at one another, they should be able to see your lips, facial expressions as well as gestures. This should be especially helpful because they depend so much on vision.

6. Clear Speech is how you speak when it is very noisy. It is slower and more distinct. It is also a louder, but with no noise competition it could be just a little louder. With people who are hard-of-hearing, it increases understanding by 20%. It will likely have a similar effect with those with auditory weakness.

7. Background noise is harder for everyone, but especially for people who have APD (or hearing loss). When conversing reduce/turn off TV, ask people to quiet down, or move away from noise.

8. If they are otherwise preoccupied, touch them on the shoulder and when attention is established, say/ask what you wanted.

9. When reading a book, if the child is on the left lap, the next time have the child on the right lap (so that both ears get the benefit).

10. Especially when giving instructions, try to use clear speech and pause after each instruction (to let it sink in and not be erased by the next one) and then give the next. Don’t hesitate to briefly reiterate what you told her, or ask her to tell you what she is going to do. You could put up one finger and give the first instruction etc. to give some visual support.

Recommendations Specific to School
1. They will do best facing the teacher less than 10-12 feet away.

2. Depending on how much the person can understand or retain, it might be helpful for the teacher to write things on the white board. This will be more helpful as she is able to read more.

3. These may be more difficult to carry out in a Montessori setting, it would be best to provide face-to-face instructions, in a quiet/quieter area.

4. Children who have APD are working much harder than the other children and so they tend to tire more quickly. A little time in a quiet/quieter area a few times a day (especially toward the end of the school day or when they look tired/stressed) would be very helpful

5. Preferential seating

6. Quiet classroom

7. Loud with clear speech

8. Provide extra time for processing and response

9. Verbal rehearsal of oral directions prior to ex*****on of directions

10. Chunking of information

11. Use gestures

12. Repeat rather than rephrase

13. Repetition of new material for long term retention

14. Avoid multi-level processing, multi-tasking, and/ or multi-step directions. Limit information input with new material for better comprehension and retention

15. Provide appropriate pauses in conversations

16. Pre-teach new vocabulary to increase familiarity, provide visual list on the board

17. Assistive listening device- FM system

18. Frequent breaks

19. Buddy or peer helper

20. Testing in a quiet room or in small group

21. Teach organizational skills by an educational specialist

22. Present information at a slow pace for effective information processing (Like Mr. Rogers!!)

We are a group of professionals dedicated to promoting facts about auditory processing

02/22/2019

For people with an auditory processing disorder, hearing in quiet is fine, but hearing in noise is a big issue.

02/22/2019

Here are some typical behaviors for persons with an auditory processing disorder:
Difficulty comprehending speech in noise,
Does not alert when spoken to,
Asks for many repetitions,
Trouble distinguishing similar words, especially in noise,
Confused because misheard what was said,
Difficulty completing multi-step commands,
Characterized as "dreamy" or "spacy"
Problems at school or retaining a job,
Has/had hard time learning to read,
Has/had articulation errors,
Becomes overwhelmed/angry around noise,
Has difficulty understanding verbal humor or sarcasm,
Misinterprets intentions of others based on their tone of voice,

07/25/2018

Tomorrow will be taken up with a workshop about therapy for children with APD. This one is targeted to SLPs. I wonder, would a workshop be helpful for parents of kids with APD also? If so, what kind of timeframe and what topics would be most helpful to address??

07/12/2018

In my audiological training, it was assumed that being able to hear soft sounds in a quiet booth meant that a person's hearing was "fine." Now I know that real-world hearing is much more complicated, and good acuity doesn't mean one's hearing is "normal." I'll be giving a workshop on July 25, 2018 on "Therapy for Children with Auditory Processing Disorders". I am a fan of the work of Nina Kraus and the members of her lab. That will be one of the topics covered in the workshop. Here's a short, very readable, article by Nina Kraus and Trent Nichol on how important sound is in our lives:http://www.brainvolts.northwestern.edu/documents/KrausNicol_NHB_2017.pdf Call me at 503-806-1498 or email me at [email protected] if you are interested in the workshop.

Address

1827 NE 44th Avenue, Ste 130
Portland, OR
97213

Opening Hours

11am - 5pm

Telephone

+15038061498

Website

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