January 24, 2019 at 10:52 am #107481ddt1981Participant
My son was diagnosed with ADHD a year ago. I have an appointment with pediatrician today and very anxious. this is what the teacher gave me for a review for the pediatrician.
This email is just to check in about some things that I have been seeing here at school. K has been working very hard socially, emotionally and academically.
I find that K often needs a lot of prompting and reminding to be on task. He is easily distracted and can take a while to refocus. Typically, I give him a modified assignment with less text or highlighted areas that I would like him to complete. He also uses noise canceling headphones, a stand up desk with a kick bar and castle walls for privacy. This helps, but I find that he still needs support to be able to complete work on time. He does enjoy math, so if he understands the directions and if the work page is simple, he can be more independent with it.
Focus can also be hard for him when I am giving instruction to the whole class. He is usually playing with his shoes or fingers or the rug and does not hear my instruction. I try to go to him and give directions again so that He can focus only on me. He will often raise his hand very confidently and then say something that is very off topic. It almost seems like he is only hearing pieces of what I am saying and then he is responding in a way that he thinks is appropriate.
Socially, K seems to be struggling at lunch and recess. When there is unstructured time. He will often come inside angry or upset and not able to tell me what happened. When i ask him, he starts to tell me a story, but really struggles with getting to the point of what happened.
In reading, K seems to be stuck at one reading level. He works very hard, but reading seems to be a very laborious process for him. He is having a hard time reading fluently. I think he also gets tired because he is working very hard. He is happy to read with me and always comes willingly.
He is currently on concerta 27 mg. He makes remarks about loud noises. He was wearing headphones to eat lunch because the lunchroom was so loud. He reads better at home in a quiet environment. made comments that sometimes the kids and if another teacher is talking next to their room, he can’t concentrate.
Any advice or suggestions would be so helpful. We didn’t know if he may have auditory processing disorder on top of ADHD? And I’m very anxious on switching meds but seems that may be what he needs. he is allergic to vyvanse and he has been on the concerta brand then we switched to methylphenidate actavis brand. the delivery system made a huge difference in his appetite.
January 24, 2019 at 11:28 am #107484BRLKParticipant
I just came here to say what an awesome teacheryou have! Their willingness to take the time to write out a thoughtful list of concerns and all the things they are trying to help your child is pretty awesome. I can’t speak to auditory processing specifically but lots of additional dx can come along with ADHD. Changing meds is pretty common. Just remember if you try something new and you don’t like what you see you can always stop the med, and if things were better on the previous med you can always switch back and try something else. My son is 14 so we’ve been at this a while. For him it’s a combo of meds, not one, that helps so there are options. Hang in there!
January 24, 2019 at 2:20 pm #107493Spaceboy 99Participant
Hey there 🙂
About 80% of kids with Central auditory processing disorder have adhd as well. I don’t know how the stats go the other way round, but I do know that CAPD isn’t a death sentence. I know, because I have it too! I only got diagnosed adhd last week (I’m 27), and I’ve managed this far as I am 🙂
The way I see it, your son is very lucky to be getting all the help he needs now, when he will benefit from it the most 🙂
CAPD tends to manifest itself the same way normal adhd inattentiveness does, just MORE, and only with auditory signals. It’s kind of like dyslexia, but for your ears. Your brain struggles to distinguish between different audio signals, and they can just blend into one. I often have bouts where I hear people speaking, but the sounds don’t automatically translate into words.
There are about seven different key symptoms, but I can only remember four, because they’re the ones that apply to me:
Difficulty remembering verbal lists
Appearing to not listen when spoken to directly
Frequently mistaking words for other words (terraces become terrorists, Baltimore becomes voldemort)
Delayed speech onset relative to children of the same age
It’s kind of bad that it’s so comorbid with adhd, because in addition to not being able to focus on what people are saying, and not always being able to understand what they’re saying, you also forget what they said to you 😛
To the best of my knowledge, adhd meds aren’t actually effective against CAPD. They can help if adhd feeds into it, but they help with the adhd part, not the CAPD part. CAPD kids tend to get sent to speech therapists, and they learn techniques for listening and concentrating. I never did, and I’m fine, but it likely occurs on a spectrum, same as adhd. Best thing I can suggest is to talk to the specialist.
But don’t be afraid. I’ve lived my whole life with it, and I’m actually pretty successful. As as your child has understanding people around him, he’s golden. It can just be frustrating when people don’t understand that I’m not doing it on purpose. I LISTEN, I just don’t HEAR.
Also, what previous commenter said. ADHD is often comorbid with about a dozen different conditions. It’s just the way of it.
January 25, 2019 at 8:36 am #107537
February 6, 2019 at 1:05 pm #108797Dr. EricParticipant
My biggest issue with CAPD assessments (as well as most ADHD and other evaluations) is that they tend to be confirmation biased based.
Does this person have CAPD? (Or ADHD, Etc.)
They tend to be too narrowly focused.
For examples, I see CAPD evaluation done by audiologists who only do auditory tests.
The last one I looked at, auditory processing was actually a strength compared to other processing skills, but the audiologist just saw that it was below average and tried to diagnose. I was convinced that those scores were being lowered by a more severe problem elsewhere.
I would make sure that you ask for a comprehensive, differential evaluation.
Did you not process auditorally because you were not paying attention, or can we determine that even when attending to information auditory is far weaker than a similarly designed visual processing test where all the other variables are the same except for visual versus auditory? THAT is a conclusive result and allows you to prioritize or treatment and response.
Think of distractibility…
I am not asked to do many ADHD evaluations for a kids that do not look inattentive.
If I give rating scales that only look for outward signs of not paying attention, I will get a “likely ADHD” result.
I want to know why they look that way.
Has the medical doctor given them a clean bill of health? Great, I can likely rule out seizure disorder, sleep apnea, diabetes, thyroid, etc.
Only a comprehensive assessment allows me to establish that it is not anxiety, sensory processing, abuse, stress, depression, learning disability, etc. Or maybe it is a combination of more than one….
You must be logged in to reply to this topic. Login