Auditory processing disorder (APD) is a term that refers to problems in how the brain understands speech. The sounds may be loud and clear. But people with APD may not pick up on the subtle differences between them. APD, also known as central auditory processing disorder, is not a hearing loss or a learning disorder. It means your brain doesn’t “hear” sounds in the usual way. People of all ages can have APD. It often starts in childhood, but some people develop it later. APD can affect the way someone speaks as well as their ability to read, write, and spell. They may drop the ends of words or mix up similar sounds. They may not be able to process what others are saying and come up with a response quickly. They may find it hard to follow conversations, know where a sound came from, listen to music, remember spoken instructions, particularly if there are multiple steps, or to understand what people say, especially in a loud place or if more than one person is talking. We evaluate and recommend treatment plans/options.