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Stupid Auditory Processing Disorders (APD) report, stupid audiologist
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<blockquote data-quote="buddy" data-source="post: 524296" data-attributes="member: 12886"><p>MWM and I have gone round about this before, smile. We all have different perspectives here so I will share mine but I consider her a strong advocate and my view is just my view, no disrespect intended in any way. I really do agree that neuropsychs are super at what they do but they are not unlimited in what they know and what they can diagnose and each of the other specialties do have the unique ability to do the best in their areas. It is just important to make sure that the people we go to have experience in the issues we are looking at.</p><p></p><p>Over the years Q has had 7 (I think I counted right) neuropsychologist evaluations. Several at a university site and the others at two different hospital sites, and beyond Autism Spectrum Disorders (ASD), ABI, anxiety-not otherwise specified and Attachment Disorder (which was provided by the psychiatric he saw before them and they did nothing to assess that, it was all record review) they never said anything more about the severe language issues he has other than that he had language delays (saying he has general receptive and expressive delays, vocabulary is a relative strength but...what types of receptive and expressive issues were never discussed). That is because the tests used, which I have seen in detail including the scoring manuals, only have subtests looking at these areas, they are not in depth language evaluations... That was left to the Speech Language Pathologist (SLP). There was not even mention of the language processing disorder....certainly never-ever mentioned for a second....auditory processing disorder but all the Speech Language Pathologist (SLP)'s and I knew there was a strong chance esp given the temporal lobe injury. Sure enough, I finally had it formally tested and it is a part of the picture. </p><p></p><p>For the detailed, more symptomatic issues, and the specific therapies needed, I actually feel things can be missed if we do not pursue the appropriate specialists. My experience is that the neuropsychs are excellent for the big umbrella diagnosis. and monitoring overall progress. The ability testing they do can help show learning style and strengths/weaknesses in that sense. They are excellent at taking other's testing and putting the puzzle together and often they can also use what they find in their testing to recommend more detailed testing in any areas that their more generalized testing suggest may show a possible problem. But if they miss on that, and we still think there is an issue I would still see the specialists in those areas to get the full picture. </p><p> </p><p>I would NEVER expect a neuropsychologist to be able to tell me if my son had muscle weakness or tightness in his legs (he has a left sided weakness), bilateral motor integration challenges or auditory processing disorder or apraxia of speech. They are not qualified to diagnose those kinds of problems. Only to point us in the right direction. Again that is my own parenting experience and also my experience in working with other professionals thru the years. Everyone has a different view though and certainly there are some who are exceptions to the rule, I knew a neuropsychologist who started as a speech-lang. pathologist, he is now at John's Hopkins. Now THAT was a great guy.</p><p></p><p>Diagnosis of auditory processing disorder takes an audiology booth. It takes calibrated equipment and specialized protocols, with hookups for certain sounds and recordings to enter either or both ears at the same or different times and a high level of training to interpret the results. For sure I would trust an audiologist and only an audiologist to diagnosis auditory processing disorder. The audiologist we use for Q's auditory trainer is a PhD level audiologist. Ktllc had searched for this kind of specialized audiologist so hard, and there just wasn't one. True, as MWM said, general audiologists do not really go onto this, it is just not as common to find people who are doing this level of testing. I sure hope that you can find someone in a few years to help get a better picture but as IC said, it is a start.</p></blockquote><p></p>
[QUOTE="buddy, post: 524296, member: 12886"] MWM and I have gone round about this before, smile. We all have different perspectives here so I will share mine but I consider her a strong advocate and my view is just my view, no disrespect intended in any way. I really do agree that neuropsychs are super at what they do but they are not unlimited in what they know and what they can diagnose and each of the other specialties do have the unique ability to do the best in their areas. It is just important to make sure that the people we go to have experience in the issues we are looking at. Over the years Q has had 7 (I think I counted right) neuropsychologist evaluations. Several at a university site and the others at two different hospital sites, and beyond Autism Spectrum Disorders (ASD), ABI, anxiety-not otherwise specified and Attachment Disorder (which was provided by the psychiatric he saw before them and they did nothing to assess that, it was all record review) they never said anything more about the severe language issues he has other than that he had language delays (saying he has general receptive and expressive delays, vocabulary is a relative strength but...what types of receptive and expressive issues were never discussed). That is because the tests used, which I have seen in detail including the scoring manuals, only have subtests looking at these areas, they are not in depth language evaluations... That was left to the Speech Language Pathologist (SLP). There was not even mention of the language processing disorder....certainly never-ever mentioned for a second....auditory processing disorder but all the Speech Language Pathologist (SLP)'s and I knew there was a strong chance esp given the temporal lobe injury. Sure enough, I finally had it formally tested and it is a part of the picture. For the detailed, more symptomatic issues, and the specific therapies needed, I actually feel things can be missed if we do not pursue the appropriate specialists. My experience is that the neuropsychs are excellent for the big umbrella diagnosis. and monitoring overall progress. The ability testing they do can help show learning style and strengths/weaknesses in that sense. They are excellent at taking other's testing and putting the puzzle together and often they can also use what they find in their testing to recommend more detailed testing in any areas that their more generalized testing suggest may show a possible problem. But if they miss on that, and we still think there is an issue I would still see the specialists in those areas to get the full picture. I would NEVER expect a neuropsychologist to be able to tell me if my son had muscle weakness or tightness in his legs (he has a left sided weakness), bilateral motor integration challenges or auditory processing disorder or apraxia of speech. They are not qualified to diagnose those kinds of problems. Only to point us in the right direction. Again that is my own parenting experience and also my experience in working with other professionals thru the years. Everyone has a different view though and certainly there are some who are exceptions to the rule, I knew a neuropsychologist who started as a speech-lang. pathologist, he is now at John's Hopkins. Now THAT was a great guy. Diagnosis of auditory processing disorder takes an audiology booth. It takes calibrated equipment and specialized protocols, with hookups for certain sounds and recordings to enter either or both ears at the same or different times and a high level of training to interpret the results. For sure I would trust an audiologist and only an audiologist to diagnosis auditory processing disorder. The audiologist we use for Q's auditory trainer is a PhD level audiologist. Ktllc had searched for this kind of specialized audiologist so hard, and there just wasn't one. True, as MWM said, general audiologists do not really go onto this, it is just not as common to find people who are doing this level of testing. I sure hope that you can find someone in a few years to help get a better picture but as IC said, it is a start. [/QUOTE]
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