debbie (ID=11) (Apr 18, 2000 7:50:49 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=12) (Apr 18, 2000 8:13:05 AM)
(This user has entered CAPD: From the Heart)
Maria (ID=13) (Apr 18, 2000 8:20:42 AM)
(This user has entered CAPD: From the Heart)
Maria (ID=13) (Apr 18, 2000 8:20:52 AM)
Hi Debbie
debbie (ID=12) (Apr 18, 2000 8:21:12 AM)
hi Maria
debbie (ID=12) (Apr 18, 2000 8:21:20 AM)
how are you today?
Maria (ID=13) (Apr 18, 2000 8:21:26 AM)
I think that Ashley has finally been diagnosed with capd
Maria (ID=13) (Apr 18, 2000 8:21:49 AM)
not sure of these tests or their findings
Maria (ID=13) (Apr 18, 2000 8:21:54 AM)
have the report here
debbie (ID=12) (Apr 18, 2000 8:21:58 AM)
what did the aud say?
Maria (ID=13) (Apr 18, 2000 8:22:37 AM)
are you familiar with the peabody and the TAPS tests
debbie (ID=12) (Apr 18, 2000 8:23:31 AM)
i've heard of them..but not sure how they are scored
Maria (ID=13) (Apr 18, 2000 8:23:36 AM)
if I tell you what the impressions are from the audiologist's summary would you know what it means
debbie (ID=12) (Apr 18, 2000 8:24:11 AM)
i may..if not we can ask dr j when he gets here
Maria (ID=13) (Apr 18, 2000 8:24:21 AM)
it appears as if AShley has auditory deficits in the area of binaural separation, auditory memory,auditory cclosure
Maria (ID=13) (Apr 18, 2000 8:24:31 AM)
and difficult listening the th epresence of background noise
Maria (ID=13) (Apr 18, 2000 8:24:41 AM)
she also has a decoding deficiet
debbie (ID=12) (Apr 18, 2000 8:25:51 AM)
now those all do sound familiar to me
Maria (ID=13) (Apr 18, 2000 8:26:12 AM)
it is weird because no where on this report does it say diagnosis is capd
debbie (ID=12) (Apr 18, 2000 8:26:15 AM)
did the dr explain all those to you?
Maria (ID=13) (Apr 18, 2000 8:26:19 AM)
no
debbie (ID=12) (Apr 18, 2000 8:26:44 AM)
did you ask the dr to? or question the formal dx?
Maria (ID=13) (Apr 18, 2000 8:26:52 AM)
what doctor
debbie (ID=12) (Apr 18, 2000 8:26:58 AM)
aud?
Maria (ID=13) (Apr 18, 2000 8:27:13 AM)
this report came to me in the mail
Maria (ID=13) (Apr 18, 2000 8:27:25 AM)
from the hospital where the testing was done by an audilogist
debbie (ID=12) (Apr 18, 2000 8:27:50 AM)
Call the aud and tell them you got the report and have questions....see if you can have the aud call you or make an appt to discuss...
debbie (ID=12) (Apr 18, 2000 8:27:59 AM)
i'll explain what I can of each category
Maria (ID=13) (Apr 18, 2000 8:28:04 AM)
ok thanks
Maria (ID=13) (Apr 18, 2000 8:28:16 AM)
so does it sound to you that they are saying she has capd?
debbie (ID=12) (Apr 18, 2000 8:28:52 AM)
yes it does sound like it..but im not a professional...did the dr send you and test data?
debbie (ID=12) (Apr 18, 2000 8:28:57 AM)
oops..not dr aud
Joan (ID=14) (Apr 18, 2000 8:29:05 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=12) (Apr 18, 2000 8:29:26 AM)
hi Joan
Maria (ID=13) (Apr 18, 2000 8:29:35 AM)
there is a brief explanation next to each thing what they are- exp- binaural sepation is the ability to listen with one ear while ignoring stinulation of the opposite ear
Maria (ID=13) (Apr 18, 2000 8:29:44 AM)
hi Joan
Joan L (ID=15) (Apr 18, 2000 8:29:55 AM)
(This user has entered CAPD: From the Heart)
Joan (ID=14) (Apr 18, 2000 8:29:55 AM)
Hi
dr.j (ID=16) (Apr 18, 2000 8:29:58 AM)
(This user has entered CAPD: From the Heart)
Maria (ID=13) (Apr 18, 2000 8:30:10 AM)
hi everybody
debbie (ID=12) (Apr 18, 2000 8:30:10 AM)
good morning Joan L and Dr J
Joan L (ID=15) (Apr 18, 2000 8:30:21 AM)
Hi everyone
debbie (ID=12) (Apr 18, 2000 8:31:10 AM)
Maria I have a site that has auditory definitons on it that may help you...im looking for the addy
dr.j (ID=16) (Apr 18, 2000 8:31:21 AM)
Good morning, Debbie, Joan and Maria. Debbie, is the save settings not working?
dr.j (ID=16) (Apr 18, 2000 8:31:41 AM)
.oO(Sorry, just took some time!)
debbie (ID=12) (Apr 18, 2000 8:31:43 AM)
It should be
debbie (ID=12) (Apr 18, 2000 8:31:48 AM)
ok
Maria (ID=13) (Apr 18, 2000 8:31:55 AM)
Debbie- i have been on your list before I all of these sites seems very foreign to me- sorry but I don't really understand all of the "big" words-lol
LaurieC (ID=17) (Apr 18, 2000 8:32:27 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=12) (Apr 18, 2000 8:32:28 AM)
runnign to get glasses...be right back
Maria (ID=13) (Apr 18, 2000 8:32:37 AM)
hi Laurie
LaurieC (ID=17) (Apr 18, 2000 8:32:51 AM)
Hi everyone....this is my first time to visit chat.
Maria (ID=13) (Apr 18, 2000 8:33:01 AM)
is this going to be a formal discussion- as in a topic- I am new here also
Joan (ID=14) (Apr 18, 2000 8:33:06 AM)
We have a 10 year old son who will be entering 5th grade next year. We suspect he is experiencing CAPD and he will be evaluated by Dr. Jeanne Ferre in June. We are exploring schools in the area for next year and wondered if anyone could give us some advice about the ideal classroom setting and teacher qualities for kids with CAPD.
dr.j (ID=16) (Apr 18, 2000 8:33:15 AM)
Maria, any "big words" just ask and someone on the list or here at the chat will happily answer for you and explain or point you in a proper direction.
debbie (ID=12) (Apr 18, 2000 8:33:21 AM)
hi Laurie C
Maria (ID=13) (Apr 18, 2000 8:33:35 AM)
thanks Dr. J
LaurieC (ID=17) (Apr 18, 2000 8:33:44 AM)
Hi Debbie
dr.j (ID=16) (Apr 18, 2000 8:34:00 AM)
Hi, Laurie, welcome. It's easy. ALl you have to be is overinclusive and you'll be able to follow the chat easily ;-)
Maria (ID=13) (Apr 18, 2000 8:34:51 AM)
I also am new to this dx. and received an evaulation from the audiologist in the mail and there is no actual place that says my daughter has capd although that is what they have been suspecting all along. just results of the tests that were done.
dr.j (ID=16) (Apr 18, 2000 8:35:52 AM)
Jaon, the ideal classroom setting and teacher for every kid is the same.....an environment that is friendly, meets the child's needs, and is not overwhelming to the child. A teacher who accepts, loves and is willing to work with and learn how to work best with the child! As I have stated MANY times on the CAPD list, there is NO ONE THING called CAPD or that is CAPD, so, there is NO ONE SPECIFIC environment or teacher for a child with CAPD.
dr.j (ID=16) (Apr 18, 2000 8:36:12 AM)
Joan....sorry for the misspelling!
debbie (ID=12) (Apr 18, 2000 8:36:25 AM)
Maria,,,I am currently reading a book by Dr Teri James Bellis that breaks capd down into understandable language....it's great
Maria (ID=13) (Apr 18, 2000 8:36:33 AM)
Joan- I have been to a school near where I live in Pa.- it is just for children with capd and hearing impairments- seems wonderful- 5 in a classroom
Maria (ID=13) (Apr 18, 2000 8:36:46 AM)
what is the title Debbie?
dr.j (ID=16) (Apr 18, 2000 8:36:50 AM)
Joan, one thing I have to say is you are fortunate to have been able to hook up with Jeanne Ferre. She should be able to advocate well for your son.
Joan (ID=14) (Apr 18, 2000 8:37:12 AM)
Dr. J...
LaurieC (ID=17) (Apr 18, 2000 8:37:13 AM)
Joan.......I saw a post on the list a few minutes ago that talks about a talk Dr. Ferre is going to give in May.
debbie (ID=12) (Apr 18, 2000 8:37:46 AM)
Assessment and Management of Central Auditory Processing Disorder in the Educational Setting
Joan (ID=14) (Apr 18, 2000 8:37:59 AM)
Dr. J. Sorry, hit the wrong button. We are looking forward to meeting Dr. Ferre. Apparently she wrote a book. Does anyone know the title?
dr.j (ID=16) (Apr 18, 2000 8:38:03 AM)
Maria, and Debbie, and others, that book by Teri James Bellis describes the Bellis and Ferre model of CAPD. Dr. Bellis (before she completed her PhD) worked with Dr. Ferre on the model and then Dr. Bellis wrote the book.
Maria (ID=13) (Apr 18, 2000 8:38:29 AM)
thanks for the info Deb and Dr. J
Joan L (ID=15) (Apr 18, 2000 8:38:37 AM)
Has anyone heard of the Huntington Learning Centers? There is a new one opening up close to me and I am wondering if they are anywhere else around the country and if so, are there any programs that would help our children with CAPD. Guess I should just call them huh?
debbie (ID=12) (Apr 18, 2000 8:38:51 AM)
Dr Teri James will be here in the chat on Thursday night May 4th
Cher (ID=18) (Apr 18, 2000 8:39:14 AM)
(This user has entered CAPD: From the Heart)
dr.j (ID=16) (Apr 18, 2000 8:39:16 AM)
Joan, no, I forget. But, her book is newer than Dr. Bellis' book, and, basically covers a similar/same model but with different experiences. Also, if you can't find Dr. Ferre's book.....brb
Maria (ID=13) (Apr 18, 2000 8:39:16 AM)
the morning chat
debbie (ID=12) (Apr 18, 2000 8:39:23 AM)
good morning Cher
Cher (ID=18) (Apr 18, 2000 8:39:37 AM)
Hi. This is my first time.
debbie (ID=12) (Apr 18, 2000 8:39:44 AM)
maria,, will be an evening chat.....(there is a banner up above that has the time on it)
LaurieC (ID=17) (Apr 18, 2000 8:39:46 AM)
Hi Cher
Maria (ID=13) (Apr 18, 2000 8:39:54 AM)
i see it thanks - sorry
LaurieC (ID=17) (Apr 18, 2000 8:40:59 AM)
Ok everyone....I am wondering if there is either a website or book I could refer to that "puts together" all these CAPD models in one reference source.
Maria (ID=13) (Apr 18, 2000 8:41:30 AM)
sorry but what do you mean by capd models?
debbie (ID=12) (Apr 18, 2000 8:41:42 AM)
(within the week I should have a listing of books about CAPD On website and be available to order via barnes and nobles)
Cher (ID=18) (Apr 18, 2000 8:41:42 AM)
Had a book recommended to me called "Out of Sync Child". Haven't read it yet but seems to give descriptions of all types of sensitory disorders.
Maria (ID=13) (Apr 18, 2000 8:41:58 AM)
the methods of teaching these children
Maria (ID=13) (Apr 18, 2000 8:42:24 AM)
thanks
dr.j (ID=16) (Apr 18, 2000 8:42:28 AM)
LaurieC NO.....there is no one source putting together all of the various models or approaches to CAPD until I finish my book.....brb, I have to take care of a quick bit of business.
LaurieC (ID=17) (Apr 18, 2000 8:42:33 AM)
When I say "puts together" , what I mean is one souce that explains them and their differences.
dr.j (ID=16) (Apr 18, 2000 8:43:10 AM)
Cher, that book is a great book on Sensory integration.....but has NOTHING to do with CAPD.
Cher (ID=18) (Apr 18, 2000 8:43:38 AM)
Thanks. Guess I'll return it.
dr.j (ID=16) (Apr 18, 2000 8:44:02 AM)
Cher, the book Out of Sync Child does NOT cover sensory disorders, it only covers a specific thing called sensory integration....and relative to SI (Sensory Integration) it is an excellent book.
dr.j (ID=16) (Apr 18, 2000 8:44:19 AM)
Laurie, and that is what I mean as well.
debbie (ID=12) (Apr 18, 2000 8:44:23 AM)
so many books out there are very detailed oriented and really hard to understand......loook carefully at the books before you buy so not too technical
Cher (ID=18) (Apr 18, 2000 8:44:51 AM)
I have question on FM systems. Our school has one but claims they get a lot of reverberation problems. They feel it might be related to low batteries and are having trouble getting them. Suggestions?
Maria (ID=13) (Apr 18, 2000 8:45:12 AM)
Dr. J - from reading email on the list serv I noticed that capd is usually hereditary- is there other reasons for someone having capd- my child is adopted and was exposed to etoh and drugs in-utero
JRan (ID=19) (Apr 18, 2000 8:46:47 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=12) (Apr 18, 2000 8:46:53 AM)
hi JRan
dr.j (ID=16) (Apr 18, 2000 8:47:11 AM)
Cher, yes tell the school district to consult with the school's audiologist or get an audiologist to consult to look at the system, check out the room etc. to see if the reverberation is a defect in the system (which my initial impression is that that is NOT the problem) or the room acoustics.
Cher (ID=18) (Apr 18, 2000 8:48:11 AM)
Thank you.
debbie (ID=12) (Apr 18, 2000 8:48:49 AM)
Maria,...there is no one known cause for CAPD....in my family we have no known history...my daughter is the first to be diagnosed
Maria (ID=13) (Apr 18, 2000 8:49:12 AM)
so the drugs etc have nothing to do with it- just coincidence?
Cher (ID=18) (Apr 18, 2000 8:49:23 AM)
My daughter is also first to be diagnosed, but family members suspect that they also have the problem.
Maria (ID=13) (Apr 18, 2000 8:49:26 AM)
or just adding insult to injury
LaurieC (ID=17) (Apr 18, 2000 8:49:41 AM)
Dr J....following my recent thread with you about "remediation of underlying deficit" vs merely "managing the resulting behavior", could you refer me to some sort of reference book/site that maybe gives a chart summarizing this...i.e. identified deficit - remediation - mangagment?
debbie (ID=12) (Apr 18, 2000 8:50:12 AM)
Laurie, One of the goals that Dr J and I have is to use this chat as a central point for discussing the various models of CAPD and we are archiving the chats so that they are available to be referenced by anyone interested
dr.j (ID=16) (Apr 18, 2000 8:50:49 AM)
Laurie, you asked about models being discussed in ONE place....well, I realized, we have been spending the past few Tues am chats discussing the models. And Debbie has archived all of these chats. Actually, this archive is the single place that all of the different models have been discussed in "parent-ees" language. What I'd like to do is summarize the different models so that you all can understand these different approaches.....
LaurieC (ID=17) (Apr 18, 2000 8:51:14 AM)
Thanks Debbie......the archives of the listserv have helped me a lot. I know the chats will too.
tlc (ID=20) (Apr 18, 2000 8:51:44 AM)
(This user has entered CAPD: From the Heart)
dr.j (ID=16) (Apr 18, 2000 8:51:45 AM)
I think that one can conceptualize the different approaches or models of CAPD into four groups....
Maria (ID=13) (Apr 18, 2000 8:52:11 AM)
sorry I am going to go- just too new at this to understand- thanks
debbie (ID=12) (Apr 18, 2000 8:52:30 AM)
Maria...you dont have to go..we are here to help
debbie (ID=12) (Apr 18, 2000 8:52:42 AM)
good morning Teresa
tlc (ID=20) (Apr 18, 2000 8:52:56 AM)
good morning
dr.j (ID=16) (Apr 18, 2000 8:53:17 AM)
1. Neurophysiological approaches: There are a number of professionals who take this approach. Essentially, they use the tests of CAPD and look for the specific "site" or region of the central auditory nervous system that is "malfunctioning." Then, they dx CAPD based on the region of deficit. For example, "Child A has a CAPD problem due to a deficit at the level of the brainstem."
debbie (ID=12) (Apr 18, 2000 8:54:00 AM)
Laurie, I know sometimes it gets really confusing.....I sit and read and read about CAPD and the more I think I understand the more questions I have and the more I get confused sometimes
dr.j (ID=16) (Apr 18, 2000 8:54:33 AM)
2. Test Battery Approach (at least these are my terms not anyone elses): There are many professionals who merely give a battery of tests and then describe whether the child passed or failed that specific test. For example, child failed the speech-in-noise test, thus the child has a CAPD problem with background noise._
Joan L (ID=15) (Apr 18, 2000 8:54:45 AM)
I agree Debbie, the more you know, the more confused you become.
tlc (ID=20) (Apr 18, 2000 8:54:53 AM)
I need to run and take kids to school...sorry i can't stay on line...
debbie (ID=12) (Apr 18, 2000 8:55:07 AM)
ok tlc....i'll catch up with you later on
LaurieC (ID=17) (Apr 18, 2000 8:56:20 AM)
Debbie....I know. Ithink as parents, we try to understand this stuff so much, but when we try to translate the "academic" into a lay language that we understand, many of us (at least I do) get mixed up and start using some of these terms to loosely. I think it really pays to stay after it and try to understand....no matter how long it takes.
dr.j (ID=16) (Apr 18, 2000 8:57:13 AM)
3. Catergoical CAPD Approaches....probably the most known are Jack Katz' BUffalo Model (4 categories, with category 3 having two types), Then there's the Bellis/Ferre or Ferre/Bellis model often called (by Ferre) the 3M approach looking at different categories, similar to Katz' categories with some changes; then there's my approach (you can find more on my approach in the CAPD archives) which I call a System-Integrative Model or Approach which also has categories, but, looks at more categories than either Katz or Ferre/Bellis
debbie (ID=12) (Apr 18, 2000 8:57:29 AM)
Joan and Laurie that is the idea behind these "topic chats" to give us a foundation on which to build our knowledge of CAPD....in order to understand how to help we have to understand how the dx was made
dr.j (ID=16) (Apr 18, 2000 8:58:11 AM)
4. the SLP approach......actually there is ONE SLP approach (Dorothy Kelly's) which is really a categorical approach, but, as with the typical SLP approach, these approaches do NOT separate out language factors from purely auditory factors.
dr.j (ID=16) (Apr 18, 2000 8:58:43 AM)
Thus, these are the four general approaches which are taken to looking at, identifying or defining, and then testing or evaluating CAPD.
Cher (ID=18) (Apr 18, 2000 8:58:47 AM)
I haven't yet received the audiologist report. Will it tell me in detail what type of CAPD the diagnosis indicates? Or does this depend on the dr. And if i know the type, are there different ways to address the problem?
LaurieC (ID=17) (Apr 18, 2000 8:58:49 AM)
Dr. J..........this #2 is what approach I think my audiologist used in my son's eval. The report really says nothing about the underlying problems, but says a lot about pass/fail results and techniques to manage the symptoms and behaviors.
dr.j (ID=16) (Apr 18, 2000 8:59:07 AM)
BRB....have to take a quick phone call.
debbie (ID=12) (Apr 18, 2000 9:00:15 AM)
Cher...from my experience....the test results ususally do not indicate what approach the aud takes to capd.....these are questions you can ask the aud....
Joan L (ID=15) (Apr 18, 2000 9:00:47 AM)
Dr. J.. As with LaurieC, my eval is similar, no underlying causes/deficits mentioned.
debbie (ID=12) (Apr 18, 2000 9:01:18 AM)
LaurieC.....I think that is the most common approach! One problem with this type of dx is that it does not give specific remeadiation techniques for YOUR child....
Cher (ID=18) (Apr 18, 2000 9:01:29 AM)
So do you have to just diagnose yourself based on the info out there? Is there a benefit to knowing?
LaurieC (ID=17) (Apr 18, 2000 9:02:48 AM)
Joan.......I wonder if we called our audiogists and asked them, in hindsight, what "model of CAPD" they work with and to please try to put our children's test results into that framework, if they'd think we were crazy!:)
debbie (ID=12) (Apr 18, 2000 9:02:53 AM)
100 kids can be tested for CAPD and all be found to have CAPD..but the type of remeadiation will depend on what each child is having trouble with...what may work for one may not work for the other.......(big problem with CAPD Is that the dx covers so many different areas)
Cher (ID=18) (Apr 18, 2000 9:03:10 AM)
Please explain remediation techniques?
Joan L (ID=15) (Apr 18, 2000 9:03:26 AM)
LaurieC . . . I'm going to give them a call and see what I can find out.
debbie (ID=12) (Apr 18, 2000 9:03:27 AM)
LaurieC im sure they'd wonder who you'd been talking to*LOL*
debbie (ID=12) (Apr 18, 2000 9:04:18 AM)
Cher,,,,,remeadiation techniques are the ways you try to help your child either overcome or cope with their CAPD...example......
debbie (ID=12) (Apr 18, 2000 9:04:59 AM)
my daughter had trouble with short term memory........we play alot of memory games and memory building exercises.....
LaurieC (ID=17) (Apr 18, 2000 9:05:02 AM)
Cher......I think there would be a huge benefit to knowing the underlying deficit. Then you could specificially remediate to your child's specific needs.
Cher (ID=18) (Apr 18, 2000 9:05:25 AM)
Fancy name.
LaurieC (ID=17) (Apr 18, 2000 9:05:48 AM)
Debbie and I........I have to run get my son off to school. I'll be back soon.
debbie (ID=12) (Apr 18, 2000 9:06:02 AM)
see you in a bit
dr.j (ID=16) (Apr 18, 2000 9:06:41 AM)
Sorry, anyway, you all are correct. Most evals, probably the majority of evals, do NOT indicate the approach or the model the evaluator (usually an audiologist) has taken. You could ask, and, as I say on the CAPD list all the time.....you should ask. Any audiologist/evaluator who can not explain the approach to be taken to CAPD doesn not really understand CAPD (in my opinion...that's a personal opinion statement!)
dr.j (ID=16) (Apr 18, 2000 9:07:07 AM)
See you soon Laurie, check the archives if you miss something here.
debbie (ID=12) (Apr 18, 2000 9:07:46 AM)
Cher.....*LOL* sorry..not trying to use fancy names
Cher (ID=18) (Apr 18, 2000 9:08:08 AM)
Can the test itself, if it is pass/fail (which I suspect) indicate the underlying problem? Or are there other test that are indicated then?
debbie (ID=12) (Apr 18, 2000 9:08:34 AM)
Dr J......would you say that the second approach is probably the most common?
dr.j (ID=16) (Apr 18, 2000 9:09:13 AM)
Now, if you look at all of these approaches, NONE really looks for the underlying deficit. The reason, the tests and evaluation tools we have can not look for any underlying deficit. However, consider this, we do not know the underlying deficit for dyslexia? the underlying deficit for ADD/ADHD? the underlying deficit for autism? etc. etc. We have more concensus on many of these other disorders than we have on professionals agreeing as to what is and what is NOT a CAPD!
Cher (ID=18) (Apr 18, 2000 9:10:22 AM)
So do we determine what we think the underlying problem is that then try to "Remeadiate" it (see I'm cathcing on!)
dr.j (ID=16) (Apr 18, 2000 9:12:32 AM)
Debbie, asked if the test batttery approach is probably the most common! Yes. IT is the easiest approach to take and requires no need to really understand CAPD at all. Additionally, the majority of education that audiologists have is from a test battery approach point of view. Same goes for SLPs. Yes, they may be taught theory, but, the arguements and discussions in the fields of SLP and Audiology today are the lack of relating theory to practice. Additionally, we have a new student and professional body out there wanting only to know "What do I do?" and not really concerned or interested (as a stereotype group) in understanding WHY. Additionally, parents, and consumers (teachers, schools, etc.) the driving force behind education and practice don't as a group want to know the WHY's they want to know "What do I do?"
dr.j (ID=16) (Apr 18, 2000 9:13:39 AM)
As a professional, I, too, want to be sure that theory ties into practice to TELL WHY leads to WHAT TO DO! But, I am in the small minority....and, it's hard to break the mold and get people, professionals, to see that there is a need to have an underlying basis to EVERYTHING you do, say, and write.
dr.j (ID=16) (Apr 18, 2000 9:14:23 AM)
CHer, you need to have an approach and feel strong about that approach......I'll give an example, and see if everyone can see why approach or model is so important.
dr.j (ID=16) (Apr 18, 2000 9:15:16 AM)
SInce speech-in-noise (often called, auditory figure-ground) is a common problem with many children with CAPD, let's use that unless some one out here has another problem that they'd like to explore from the four different models?
debbie (ID=12) (Apr 18, 2000 9:15:55 AM)
Dr J...I think one questions asked earlier is.........is it neccessary to know the model of CAPD that the aud used to dx the CAPD or just what the areas the child is finally dx as having trouble in ,,in order to effectively help the child
dr.j (ID=16) (Apr 18, 2000 9:16:45 AM)
Debbie, OK, to answer that question. Pose an "area the child is having trouble with" and let's see if the approach or model is important?
debbie (ID=12) (Apr 18, 2000 9:16:48 AM)
or is that like treating the symptom and not the cause...
Cher (ID=18) (Apr 18, 2000 9:17:04 AM)
I like the speech in noise area.
debbie (ID=12) (Apr 18, 2000 9:17:09 AM)
so do i...
dr.j (ID=16) (Apr 18, 2000 9:17:23 AM)
OK, Debbie, is speech-in-noise OK with you?
debbie (ID=12) (Apr 18, 2000 9:17:37 AM)
sure..
Rose (ID=21) (Apr 18, 2000 9:17:44 AM)
(This user has entered CAPD: From the Heart)
dr.j (ID=16) (Apr 18, 2000 9:17:51 AM)
Great.....BTW, I'm loosing the bottom of the chat, so I may miss something, sorry.
debbie (ID=12) (Apr 18, 2000 9:18:07 AM)
hi Rose.....had a nice chat with Linda yesterday
Rose (ID=21) (Apr 18, 2000 9:19:32 AM)
Hi everyone. Debbie I know she posted an invition to the CAPD chat on the list. Has Linda been here today?
debbie (ID=12) (Apr 18, 2000 9:19:58 AM)
I havent seen her yet today...I posted on their list too *L*
dr.j (ID=16) (Apr 18, 2000 9:20:12 AM)
OK, if you take the most common approach, the Test Battery Approach, the response would be.......We gave the XYZ test or tests which looked at speech-in-noise or auditory figure-ground and the child FAILED these tests. Thus, the child has a problem understanding speech in noise. Remediation.......or management?...
Rose (ID=21) (Apr 18, 2000 9:20:46 AM)
I saw that, now I will have to write to Cindy and see if she is planning on contacting you.
debbie (ID=12) (Apr 18, 2000 9:20:46 AM)
management
dr.j (ID=16) (Apr 18, 2000 9:20:53 AM)
The audiologist may say.......Remove noise.....put the child in quiet.....not it those words but, use an FM, be sure the room is quiet....etc. However......
debbie (ID=12) (Apr 18, 2000 9:21:13 AM)
oops
Rose (ID=21) (Apr 18, 2000 9:21:41 AM)
Well my son's CAPD testing has been done, but I am waiting for the results.
dr.j (ID=16) (Apr 18, 2000 9:21:45 AM)
For many evaluators, audiologists. even finding there is a problem with speech-in-noise, they have no remediation specific to the tests failed.....they use a blanket approach (a list of accomodations that are not specific to anything in the test results).
Cher (ID=18) (Apr 18, 2000 9:22:14 AM)
I have the feeling that's what I'll be getting.
Rose (ID=21) (Apr 18, 2000 9:22:32 AM)
By the way Cindy is the ADHD list owner in case she does cntact you.
Cher (ID=18) (Apr 18, 2000 9:22:43 AM)
So when a child has taught themselves to read lips, is this remeadiation?
debbie (ID=12) (Apr 18, 2000 9:23:02 AM)
so these "recommendations" are the same for all children using this approach and not specific to address the needs of a specific child?
dr.j (ID=16) (Apr 18, 2000 9:23:16 AM)
But, if one takes a true test battery approach.....management for a child failing tests of speech-in-noise is to remove the noise through environmental modifications and, maybe FM system (in this case personal system only) and remediation would be to go to the SLP or educational resource specialist and practice following directions or responding to relevant/primary messages in the presence of noise.
dr.j (ID=16) (Apr 18, 2000 9:23:41 AM)
DOes everyone follow how the test battery approach would look at speech-in-noise failure on the CAPD tests?
Cher (ID=18) (Apr 18, 2000 9:24:17 AM)
no
Cher (ID=18) (Apr 18, 2000 9:24:25 AM)
or rather yest
debbie (ID=12) (Apr 18, 2000 9:24:48 AM)
yes.
Cher (ID=18) (Apr 18, 2000 9:25:20 AM)
How do you find a speech language pathologist? Through the school?
Rose (ID=21) (Apr 18, 2000 9:25:22 AM)
The audiologist didn't say if he had CAPD or not , but did indicate that once the battery of test results were compiled I should have many answers.
Rose (ID=21) (Apr 18, 2000 9:26:52 AM)
My pediatricians office recommended a speech and language pathologist to me. My son starts therapy today as a matter of fact.
debbie (ID=12) (Apr 18, 2000 9:27:13 AM)
Cher...talk to your pediatician for a private referral
dr.j (ID=16) (Apr 18, 2000 9:28:04 AM)
CHer, do you follow ? This is really the bottom line....Test Battery given, child named Cher fails speech-in-noise test, so, we suggest a quiet setting, reduce noise in room, use personal FM system for classroom.....if we provide ANY recommendation for "therapy" or remediation, we'd suggest going 3 times a week to the SLP to practice listening to directions and doing tasks in the presence of increasing levels of background noise (such as soft noise, louder noise, simple noise/complex noise, etc.) Thus, the test battery approach says, "Remove the problem for handling the child and either wait until the child is old enough or shows maturation to handle the problem on his/her own, or, use the modifications for the rest of the child's life, or use the modifications, and provide practice in PASSING ThE TEST!"?
Joan L (ID=15) (Apr 18, 2000 9:28:18 AM)
Dr. J, per your examplt, my daughter's SLP in school IS using "remediation" techniques for auditory figure ground problems. I would guess I'm on the right track. She seems to be the only one pushing for remediation instead of management. She would like to see my daughter eventually removed from the FM unit.
Cher (ID=18) (Apr 18, 2000 9:28:56 AM)
I'm getting it.
dr.j (ID=16) (Apr 18, 2000 9:29:30 AM)
Joan, ONLY if your accept the test battery approach as a proper model for approaching and dealing with CAPD? However, if you do not accept that approach (as I do not) then, no, you are not on the right track becasue you are treating the symptoms and not the underlying processing deficit.
Rose (ID=21) (Apr 18, 2000 9:29:55 AM)
I have my sons language eval results in front of me and was wondering if anyone can explain the results if I type what it says.
Cher (ID=18) (Apr 18, 2000 9:30:09 AM)
If you treat the underlying processing deficit -- is that like a cure?
debbie (ID=12) (Apr 18, 2000 9:30:29 AM)
me thinks Cher is catching on quickly =)
JRan (ID=19) (Apr 18, 2000 9:30:46 AM)
dr. j. Would you continue with the speech-in-noise example and discuss your model?
Joan L (ID=15) (Apr 18, 2000 9:30:52 AM)
Methinks I am not.
debbie (ID=12) (Apr 18, 2000 9:31:30 AM)
hold on JoanL...i think it will become clearer in a moment..
dr.j (ID=16) (Apr 18, 2000 9:31:47 AM)
Now, to contrast, consider the neurophysiological approach? In this approach, the problem with speech-in-noise is seen as a disorder in the brainstem. Thus, the first thing you would do is refer the child for electrophysiological tests to rule out a brainstem tumor, neurodegenerative disease or brainstem pathology. Now, what research and years of experience have taught the profession is that the vast vast overwhelming majority of kids with speech-in-noise problems do NOT have brainstem pathologies. Also......
LaurieC (ID=22) (Apr 18, 2000 9:32:46 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=12) (Apr 18, 2000 9:33:05 AM)
hi LaurieC ...
LaurieC (ID=22) (Apr 18, 2000 9:33:27 AM)
Hi all....I'm back.
dr.j (ID=16) (Apr 18, 2000 9:33:48 AM)
If the child were suspected of a brainstem pathology, then, the treatment would be to remove the pathology. For example, if you knew (which is overwhelmingly NOT the case) that your child had a tumor that caused the CAPD, wouldn't you want the tumor removed? However, the neurophysiological model was based on adult brain damaged subjects, so it really has little relevance to children with functional or behavioral problems. But, there are audiologists out there still using it....I run into their reports from time to time.
krr58 (ID=23) (Apr 18, 2000 9:34:56 AM)
(This user has entered CAPD: From the Heart)
Cher (ID=18) (Apr 18, 2000 9:35:05 AM)
This is making more sense.
debbie (ID=12) (Apr 18, 2000 9:35:10 AM)
hi krr58...happy you could join us
LaurieC (ID=22) (Apr 18, 2000 9:35:11 AM)
Debbie......thanks for the catch up.
dr.j (ID=16) (Apr 18, 2000 9:35:49 AM)
Treatment according to a brainstem tumor or disorder is......YOU CAN"T fix the hidden disorder, so you provide management to work around the disorder. Also, the other approach to the neurophysiological approach is that the problem is just maturation.....or neuromaturation......thus, your treatment is to provide management around the problem (avoid situations in which the child has to listen in noise) until the central auditory nervous system matures (if it ever matures for that case) to be able to handle the situations without the accomodations. THis is the basis of the list of accomodations.
Rose (ID=21) (Apr 18, 2000 9:37:12 AM)
Peabody picture vocabulary test- age equivolent-8yrs. 4mons.test of auditory perception skills: number memory forward-9yrs.6mons.,auditory sentence memory under 4 yrs., auditory word memory 10yrs. 8mons., auditory interpretation of directions 4yrs. 10 mons. auditory processing 6 yrs 6 mons. Are these results consistant with a child with CAPD? His actual CAPD testing results haven't been compiled yet for me to see the results.
dr.j (ID=16) (Apr 18, 2000 9:37:15 AM)
In the neurophysiological approach, no remedaition is provided because remediation trains and the bais of the neurophysiological approach is that the problem is developmental so wait and in time the child should be doing the speech in nosie tasks normally....but, this is not always the case. So, the neurophysiological approach says this child has a permanent problem in the brainstem and needs the accomodations for the rest of his/her life.
Rose (ID=21) (Apr 18, 2000 9:37:30 AM)
By the way my son will be 8 this month.
dr.j (ID=16) (Apr 18, 2000 9:37:36 AM)
Now, someone asked about my model......it fits in the categorical approach.
Rose (ID=21) (Apr 18, 2000 9:40:27 AM)
Why isn't anyone saying anything?
debbie (ID=12) (Apr 18, 2000 9:40:50 AM)
(got a phone call quick) back in just one second
Joan L (ID=15) (Apr 18, 2000 9:40:56 AM)
Rose, I think it's because we are all haning on Dr. J's every word.
dr.j (ID=16) (Apr 18, 2000 9:40:59 AM)
WIth the categorical approach, the basis is to see into which category or specific area of processing the deficit falls. Not based on one test, but based on the entire test battery. Example, let's look, first at the Buffalo Model. In the Buffalo model, problems with speech in noise fit into the TFM or Tolerance-Fading Memory category. The problem is the child's inability to TOLERATE the presence of background noise. Thus, remediation is to manage the background noise by reducing/removing it (quiet classrooom, use of FM, etc.) but treatment is to improve understanding of speech in noise (same as with the test battery approach - practice in noise, PLUS, practive in memory. Remember, accoding to this model, problems with speech-in-noise are both deficits in TOLERANCe and FADING MEMORY....so, you have to improve the child's memory in the TFM category... Follow the additional factor here?
JRan (ID=19) (Apr 18, 2000 9:41:57 AM)
yes
Cher (ID=18) (Apr 18, 2000 9:42:06 AM)
I agree
dr.j (ID=16) (Apr 18, 2000 9:44:00 AM)
Now, my model looks at specific areas I have found that I believe are how we process speech in noise (in this example). I have discussed this before, but, repetition never hurts. In order to understand my model, I'll ask you all to join in......when you are in a noisy environment, what do you do to understand speech better and not allow the background noise to cause you to loose the message. Consider the following......(this is how I came up with my model, looking at adults and what they do in various situations).....you are lost and the only person who knows how to give you directions is standing in the middle of a very noisy place and that person CAN NOT MOVE? What would you do to better understand what that person is saying in giving you the directions....I await your responses.
Cher (ID=18) (Apr 18, 2000 9:44:35 AM)
Move closer and look at them
dr.j (ID=16) (Apr 18, 2000 9:44:53 AM)
.oO(Needs to push up screen)
Cher (ID=18) (Apr 18, 2000 9:45:06 AM)
Guess I missed it, eh?
Rose (ID=21) (Apr 18, 2000 9:45:26 AM)
If I still had trouble I would ask them to write it down for me.
debbiedustin (ID=24) (Apr 18, 2000 9:46:09 AM)
(This user has entered CAPD: From the Heart)
dr.j (ID=16) (Apr 18, 2000 9:46:26 AM)
Cher, ok, then , you are saying that you need to get more cues to improve the acoustics.....and you look at them, maybe, to use visual or lipreading to help. Then, you are trying to get a better auditory and visual cues to DECODE what the person is saying. As such, you find you are trying to get EVERY WORD, EVERY SOUND, EVERY LIP MOVEMENT to decode what the person is saying....right Cher?
debbie (ID=12) (Apr 18, 2000 9:46:29 AM)
hi debbiedustin
Rose (ID=21) (Apr 18, 2000 9:46:35 AM)
Hi debbie glad to see you here
dr.j (ID=16) (Apr 18, 2000 9:46:52 AM)
Rose, you are doing the same....you are asking to have a better chance to DECODE the message.
Cher (ID=18) (Apr 18, 2000 9:46:57 AM)
I'll bet gestures would help too.
Rose (ID=21) (Apr 18, 2000 9:47:42 AM)
So is this what we teach our children to do to improve their ability to understand?
Cher (ID=18) (Apr 18, 2000 9:48:02 AM)
I have the feeling we're on the wrong track
dr.j (ID=16) (Apr 18, 2000 9:48:30 AM)
Thus, one of the underlying reasons people have problems in noise is that they REALLY have problems decoding the messages they hear. So, the problem is not tolerance, not auditory figure-ground, the problem could be DECODING.......Decoding can be (in my model) a phonemic (speech sound) awareness deficit or a problem in converting what we hear (the code) into the mental or visual symbols or representations (sound-symbol association).
Rose (ID=21) (Apr 18, 2000 9:48:32 AM)
Or doesn't this work for kids with CAPD?
LaurieC (ID=22) (Apr 18, 2000 9:48:56 AM)
Dr J. Sorry to jump in ...I've been gone. What tests does an audiologist use to test temporal processing speed? Are the results stated in age equivilent yrs? Can slow temporal processing speed be an underlying deficit for a child's problems with background noise? Can temporal processing speed be "sped up" through remediation programs like FFW, etc? Sorry for so many questions!
dr.j (ID=16) (Apr 18, 2000 9:50:25 AM)
NO, Cher, you're on the right track. What you all are trying to do is get more of the message. Now, if I taught you how to take pieces of a message, and figure out how to fill in missing pieces and do so automatically, and with better accuracy, would you have as much problem understanding the person in the noisy situation? Or, if you had a better idea of the general area (map) of where he/she were telling you to go, would you have an easier time understanding what he/she were saying?
JRan (ID=19) (Apr 18, 2000 9:50:39 AM)
dr. j. - How would you distinguish between decoding in a difficult listening situation and/or the presence of a what a parent or teacher would think of as a decoding problem in relation to learning to read?
dr.j (ID=16) (Apr 18, 2000 9:51:40 AM)
need to push up the screen
LaurieC (ID=22) (Apr 18, 2000 9:52:44 AM)
Great question JRan.........I have the same one.
dr.j (ID=16) (Apr 18, 2000 9:54:47 AM)
JRan, good question......actually its the other way around......if the child has problems on tests of speech-in-noise or auditory figure-ground AND the child has problems on other phonemic awareness types of tests, and the child has problems in other tests that look at decoding (and the specialist audiologist should know what each test is looking at, and should look at the case hx as well), and the case history indicates problems in spelling, reading, etc. then, the child would look like a child with phonemic awareness problems. Thus, the problems in noise are not prolems in noise but a primary deficit in phonemic awareness in which decoding a message IN NOISE is difficult beause the noise masks out auditory cues to help distinguish or discriminate one speech sound from another.
debbie (ID=12) (Apr 18, 2000 9:54:49 AM)
Dr J...one thing that you mentioned was a better idea of the general area (map).....in the case of CAPD...would this be similar to preteaching or familiarizinga child with spelling words before they were presented to them in school?
Cher (ID=18) (Apr 18, 2000 9:58:31 AM)
Gotta go. This have been fascinating ... very educational. I'll be looking up other archives. Thanks!
dr.j (ID=16) (Apr 18, 2000 9:59:01 AM)
Now, Debbie, what would happen if you had a better map or INCREASED EXPERIENCE with the lesson being taught, better prior knowledge of the words, and language being used, etc. In this case, the problem would be a decoding deficit in language NOT phonemic awareness.....notice the difference. Thus, the primary deficit would be language decoding, and remediation would be linguistic in natrue. Oh, I think I forget. For the first child.....remediation would be to improve phonemic awareness, for the second child (sound-symbol) add to the phonemic awareness sound-to-symbol assocaition.....and for this child, Debbie, the remediation would be language development, increasing vocabulary especially (as I call it) in-depth as well as laterally - that is, add more words and word knowledge to the vocabulary, but also, add more meanings to the words already known and practice substituting words and word meaning and seeing how these substitutes relate or change entire meaning.....also, learn to use and predict the par
Rose (ID=21) (Apr 18, 2000 9:59:15 AM)
So are you saying that although a CHILD HAS DIFFICULTY DISTINGUISHING BETWEEN SOUNDS IT MAY BE A PHONETIC PROCESSING PROBLEM RATHER THAN AN AUDITORY PROCESSING PROBLEM?
dr.j (ID=16) (Apr 18, 2000 10:01:07 AM)
Thus, we have a child with a problem understanding speech in noise in which three underlying factors have been identified NONE of which have to do with removing the noise! But, there IS that fourth factor of distractibility. ANd here the child is just distracted by the noise. COnsider, as the person is giving you directions, you hear an arguement i nthe background. Suddenly, you are processing/attending to the arguement, and miss what the person said.....so, distractibility and focal attention and maintaining attention can be another factor accounting for problems with speech in noise....and.....
Rose (ID=21) (Apr 18, 2000 10:02:12 AM)
IAreCAPD problems increased in a child with ADHD then?
JRan (ID=19) (Apr 18, 2000 10:02:13 AM)
dr. j. - So does it make sense to talk about a profile of a child's weaknesses (and strengths we hope)? For example, difficulty in speech-in-noise, good pronemic skills and avg memory. I'm confused by categorical categories such as "decoding".
dr.j (ID=16) (Apr 18, 2000 10:02:29 AM)
Notice, here I have identified distractibility having TWO factors.....focusing attention and maintaining attention.....although both are attention factors, they differ. There is also, and what may be more common to auditory attention processing problems, SELECTIVE ATTENTION....that is, choosing to WHAT I shall and shall not attend.
JRan (ID=19) (Apr 18, 2000 10:03:44 AM)
oops... categorical descriptions
dr.j (ID=16) (Apr 18, 2000 10:03:55 AM)
Rose, yes.......problems processing verbal information are increased in children who can not selectively attend, focus attention or maintain attention correctly. BUt, in these cases, the primary problem would the the attention deficit (ADD/ADHD)....they would NOT have a primary CAPD. As such, work on the ADD/ADHD has to be done, NOT work on CAPD. And how do I differentiate CAPD from ADD/ADHD, easy......for me anyway....
Rose (ID=21) (Apr 18, 2000 10:05:42 AM)
Well my son is ADHD and is doing well on medication now. Once ADHD is controlled would the CAPD than become the primary diagnosis?
dr.j (ID=16) (Apr 18, 2000 10:06:56 AM)
ADD/ADHD is a problem in impulse control....a problem in NOT being able to NOT attend to irrelevant stimuli. A problem in auditory attention is a problem in getting the primary message even though you are trying hard to do so and you have no problem STOPPING the impulse to attend to irrelevant information or stimuli. WIth auditory attention problems, the child either has a language based problem in not understanding directions, thus, not knowing to what he/she is to attend (I call it the "Set to Attend selective attention deficit) or a problem in getting enough of the primary or relevant message because the background noise interfers with concentation....but the child IS trying to and knows to what he/she must concentrate on.
debbie (ID=12) (Apr 18, 2000 10:07:54 AM)
***friendly reminder......Dr J it's is about 10:15 now and I know you have class at 10:30 =) ****
dr.j (ID=16) (Apr 18, 2000 10:08:30 AM)
Rose, yes, if the impulse control problems are controled via mediation or behavior management, then, any problems in attention could be CAPD oriented. Now, your son is ready to and his central nervous system is open to learning how to selectively attend. Now, the evaluator needs to determine if the problem is primary langauge (set to attend) or auditory distractibility (focus, maintaining, and decoding the message)
KYM (ID=25) (Apr 18, 2000 10:08:40 AM)
(This user has entered CAPD: From the Heart)
dr.j (ID=16) (Apr 18, 2000 10:08:42 AM)
Yes, Debbie, thank you.......)
Jackie (ID=26) (Apr 18, 2000 10:09:02 AM)
(This user has entered CAPD: From the Heart)
Rose (ID=21) (Apr 18, 2000 10:09:03 AM)
This is why I am asking, his language eval indicated he is only on a 4 yr 10 month level for auditory interpretation of directions
Rose (ID=21) (Apr 18, 2000 10:09:14 AM)
Hi Kym
debbie (ID=12) (Apr 18, 2000 10:09:31 AM)
hi KYM and Jackie
Rose (ID=21) (Apr 18, 2000 10:09:34 AM)
He will be * this month
Rose (ID=21) (Apr 18, 2000 10:09:43 AM)
sorry 8
KYM (ID=25) (Apr 18, 2000 10:09:46 AM)
GOOD MORNING ALL
KYM (ID=25) (Apr 18, 2000 10:10:16 AM)
WHAT R WE CHATTING ABOUT TODAY
dr.j (ID=16) (Apr 18, 2000 10:10:31 AM)
Anyway, I think I've probably overloaded everyone....but, I hope you all can see it isn't so easy to differentially diagonse the underlying problem areas. For me it has been years of experience and, now, my goal is to get others to see we can do the same thing. Please read over the archives when you have time. And, maybe next chat (two weeks) we can focus on choosing remediation tools.........we can start with the "package programs" and go from there. What do you think?
debbie (ID=0) (Apr 18, 2000 10:27:12 AM)
(This user has entered CAPD: From the Heart)
Rose (ID=1) (Apr 18, 2000 10:29:43 AM)
(This user has entered CAPD: From the Heart)
krr58 (ID=2) (Apr 18, 2000 10:29:47 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=0) (Apr 18, 2000 10:30:10 AM)
I am so sorry you guys that the room was reset
debbie (ID=0) (Apr 18, 2000 10:30:30 AM)
I'm on the phone with the server now
krr58 (ID=2) (Apr 18, 2000 10:30:45 AM)
Whew! thought I'd done something. I'm new to this...
Rose (ID=1) (Apr 18, 2000 10:30:50 AM)
I was wondering what happened, I got booted and couldn't resign on.
debbie (ID=0) (Apr 18, 2000 10:31:11 AM)
no it wasnt that you did something wrong.......
debbie (ID=0) (Apr 18, 2000 10:31:36 AM)
as i said i cant tell you how sorry i am...
Kevin (ID=3) (Apr 18, 2000 10:32:43 AM)
(This user has entered CAPD: From the Heart)
debbie (ID=0) (Apr 18, 2000 10:32:49 AM)
hi Kevin
Rose (ID=1) (Apr 18, 2000 10:32:53 AM)
Hi kevin
Kevin (ID=3) (Apr 18, 2000 10:33:01 AM)
Hi
Kevin (ID=3) (Apr 18, 2000 10:33:53 AM)
I am a late?
Rose (ID=1) (Apr 18, 2000 10:33:56 AM)
There was just a problem with the chat room that is why there aren't many people here right now.
Rose (ID=1) (Apr 18, 2000 10:34:29 AM)
Well you did miss Dr.Jay but aren't too late to chat with us
debbie (ID=0) (Apr 18, 2000 10:34:39 AM)
the problem is being solved..
Kevin (ID=3) (Apr 18, 2000 10:34:40 AM)
Ok
Rose (ID=1) (Apr 18, 2000 10:35:02 AM)
debbie is upset with the server. that is good news Debbie
Rose (ID=1) (Apr 18, 2000 10:35:35 AM)
kevin do you have a child with CAPD?
Kevin (ID=3) (Apr 18, 2000 10:36:17 AM)
Yes, one bony 13.
Kevin (ID=3) (Apr 18, 2000 10:36:49 AM)
How about you?
Rose (ID=1) (Apr 18, 2000 10:37:03 AM)
I have to run to pick my little one up from nursery school soon, i'll be right back. I may not answer when I'm gone. I will stay here until the last minute.
Rose (ID=1) (Apr 18, 2000 10:37:35 AM)
I have an 8 yr old son, he was just tested but I am waiting for the results.
Rose (ID=1) (Apr 18, 2000 10:38:02 AM)
So I guess right now he is suspected CAPD.
Kevin (ID=3) (Apr 18, 2000 10:38:14 AM)
We have been dealing with it for years.
Rose (ID=1) (Apr 18, 2000 10:38:59 AM)
My son is also ADHD so it wasn't until that was under control that we realized there was something else going on.
debbie (ID=0) (Apr 18, 2000 10:39:48 AM)
Im sorry...I"m back with you all now
Rose (ID=1) (Apr 18, 2000 10:40:17 AM)
I had never heard of CAPD and actually found out about it by accident on the internet. I was surprised to discover something that finally makes sense of my son's problems.
Kevin (ID=3) (Apr 18, 2000 10:41:08 AM)
It is hard at times to pick up on CAPD.
debbie (ID=0) (Apr 18, 2000 10:41:34 AM)
Kevin...we did have a good chat with Dr J this morning...we talked about the various approaches to capd and then how they applied to background noise...
Rose (ID=1) (Apr 18, 2000 10:42:29 AM)
Especially when you never heard of it and not all professionals are familiar with it either.
debbie (ID=0) (Apr 18, 2000 10:42:57 AM)
what teh discussion did was look at how the aud approach affected the way you would remeadiate the same problem
Kevin (ID=3) (Apr 18, 2000 10:43:12 AM)
Debbie were there any suggestions?
Rose (ID=1) (Apr 18, 2000 10:44:12 AM)
Debbie something is weird with how things are posting. I can't read a whole posting until someone else posts something else. It isn't scrolling up correctly
