auditory processing disorder depression

Listening Problems and Mental Health: Can Auditory Processing Problems Cause Depression?

What is Auditory processing disorder?


Auditory processing disorder (APD), sometimes referred to as CAPD (Central Auditory Processing Disorder), is an auditory perception disorder. APD is an umbrella term for a variety of different disorders that affect the brain’s function to process auditory information. Due to the impaired brain function, individuals impacted by processing disorders are unable to perceive and recognize sounds and differentiate words from each other. This often leads to misinterpretation of speech and APD is usually misdiagnosed as poor listening or hearing impairment.


Auditory Processing Disorders in Children


Early childhood is a phase where the child’s development is completely dependent on their ability to use and understand language. During this age, APD can cause many problems.

Around 5% of school-aged children are affected by APD. Here are some of the signs that children with APD will show:

  • Misunderstanding instructions for the first time
  • Behaving as if there is a loss of hearing
  • Failing to understand where a sound is originating from
  • Appearing uncomfortable in noisy settings
  • Confusing words that sound alike

APD can be diagnosed at an early age if parents, teachers and other caregivers are quick to identify some of the symptoms mentioned above (however, age 7 is typically thought of as the youngest age a child can be tested for CAPD). Behavior patterns and conversations in the classroom can help in early diagnosis of APD, after other conditions are ruled out.

After referring to a general physician, further audiologic testing is done. Finally, a team that comprises of an audiologist, educational psychologist and a speech therapist do a formal assessment and evaluate the needs of the child.


Auditory Processing Disorder in Adults


Adults can also suffer from auditory processing issues. Here are some other reported issues that are faced by adults experiencing APD:

  • Difficulty in carrying out phone conversation
  • Difficulty following detailed directions and long conversations
  • Do not appreciate music
  • Social anxiety issues
  • Spelling, reading, writing issues


APD and Depression


According to research by NCBI, both children and adults suffering from auditory processing disorder tend to suffer from poor mental health and are at high risk for depression, anxiety, and low self-esteem. 

Needless to say, auditory processing disorders represent an under-recognized, and often undiagnosed, cause of depression.


APD makes it challenging to make sense of words being spoken, weakens phonemic awareness and makes reading and writing a huge chore. Ultimately, this can lead a person to start feeling exhausted, depressed and begins to avoid social interactions.


As the strains and stresses escalate, friends and family can take steps help. Here are some ways in which you can help your loved one with APD get to a better place:

  1. Provide agendas or notes before a school lecture or an office meeting. This helps the person to review the concepts and sync with the new terms, making it easier to interpret them later on.
  2. Give them preferential seating in a meeting or classroom. When the person is able to see the speaker, they can make things out by lip-reading and bodily gestures.
  3. Try to reduce noise from the rooms next door and the hallway by shutting the door.
  4. Use closed-captions or subtitles while showing a video.
  5. Allow the use of a tape recorder during meetings, classes and any other private appointments. This way, the person can listen it again until all instructions are clear.
  6. If possible, allow the use of an assistive listening device (ALD). These are electronic devices that are used in large meeting rooms where a pair of headphones is given to the hearer and the speaker uses a wireless mic. This setup allows information to transmit directly through the headphones and cuts out any extraneous noises.
  7. Rephrase instead of repeat. Most people mistake APD as a hearing problem, so they repeat instructions loudly. But instead of repeating, try to re-phrase what is being communicated. When the sentence is structured differently, it makes it easier for the person to discern meaning.   




APD can be a very misunderstood disorder, making things even more frustrating for the patient. Unfortunately, there is no cure for this disorder. As people with APD start to overcome the initial social obstacles, things become more comfortable. Friends and family can help together to look for ways that make communication more accessible and more efficient. 

But it is essential to understand that conversational difficulties of people with APD do not affect their performance abilities and confidence. People should realize that APD patients are suffering from an actual disorder and are not rude or lazy.

Do you have a firsthand experience of dealing with a person who suffers from APD? Or are you an APD warrior yourself? Please share your story with us in the comments below!


About the author

Alycia Gordan is a freelance writer who loves to read and write articles on healthcare technology, fitness and lifestyle. She is a tech junkie and divides her time between travel and writing. You can find her on Twitter: @meetalycia


*featured image courtesy pexels


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