APD vs. ADHD 

Children with learning differences often appear to have difficulty paying attention. An attention problem can be symptomatic of a number of etiologies, including attention deficit hyperactivity disorders (ADHD) and auditory processing disorders (APD). These two conditions often share similar characteristics and behaviors, such as inattention and distractibility. They are, however, seen as two distinct medical conditions that have different origins and forms of treatment. APD is diagnosed by an Audiologist. Treatment recommendations include auditory training remediation therapies and modifications to the environment and teaching strategies to help the individual process challenging auditory information better. ADHD is often diagnosed by Physicians or Psychologists through the use of behavioral rating scales and observations made by parents and teachers. Treatment is usually in the form of pharmaceutical intervention. As one can see, the treatment recommendations for each disorder are different. That is why it is critical that a correct diagnosis be made so that appropriate intervention can be obtained.

Throughout her years in practice, Dr. Larkin has seen many children who have been misdiagnosed with ADHD when in actuality they have APD. She has also seen numerous children that have both APD and ADHD conditions. Dr. Larkin often utilizes the Auditory Performance Continuous Test (ACPT) in her comprehensive test battery to identify children who may have auditory attention disorders. The ACPT is an auditory vigilance task that provides information in determining if an attention problem is one of the underlying factors contributing to a child’s auditory weaknesses.

APD

  • Seems “tuned out” due to not understanding what’s being said
  • Struggles to follow conversations and respond to spoken questions
  • Frequently asks people to repeat what they’ve said; Seems “tuned out” due to inattention
  • Struggles to focus during conversation and when responding to spoken questions
  • Frequently doesn’t react or respond when spoken to; when often responds with “huh?” or “what?”
  • Has trouble following directions and spoken instructions
  • May not speak clearly, confuses similar sounds, such as “math” instead of “bath”
  • Has trouble with rhyming
  • Is easily distracted by background noise or loud and sudden noises
  • Struggles with activities that involve listening comprehension

ADHD

  • Seems “tuned out” due to inattention
  • Struggles to focus during conversation and when responding to spoken questions
  • Frequently doesn’t react or respond when spoken to; when pressed, might say “I didn’t hear you!” or “What?”
  • Has trouble following directions · Finds it hard to stay organized and on task
  • Interrupts people and blurts out things inappropriately
  • Is easily distracted by whatever’s going on around him—sounds, sights, activity
  • Struggles to sit still during quiet activities
  • Is constantly fidgeting and moving and gets bored easily unless an activity is very enjoyable