As is mentioned above, this condition creates a diagnostic dilemma, since it is one of the ILD. The student has little problem in processing instructions for a one step process, but has difficulty processing the end of a complex instructional sentence. Difficulty with sound recognition, which include differentiating phonemes, foreground from non-relevant background stimuli, and localization of precise direction of the source sounds. Students with CAPD are unable to efficiently process auditory input in the absence of peripheral auditory acuity deficit. An ominous sign is the child who covers both ears in a noisy classroom protesting that it is too noisy, later realizing that instructions from the teacher also cannot be heard. The speech pathologist and the audiologist need to collaborate on this assessment.
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