This area of speech-language development refers to the inability of a child to accurately detect and understand incoming auditory information- from simple sounds/noises to the speech of others (despite the fact that the child has normal hearing – normal audiograms/hearing check-ups).

Red Flags

  • Exhibits a short attention span and becomes easily fatigued; forgets what is said within a few minutes.
  • Unable to block out irrelevant stimuli (background noises like air conditioners or traffic).
  • Inability to detect where sound is coming from.
  • May listen attentively, but has difficulty following long or complicated directions.
  • A significant history of chronic middle ear infections or fluctuating hearing loss.
  • Slow to answer questions.
  • Difficulty in reading, writing, or spelling.
  • Appears pre-occupied; difficult to get their attention; daydreams.
  • Presence of hyperactivity, or Attention Deficit Disorder.
  • Limited abstract abilities and difficulty pretending in play situations.
  • Does not remember simple routine things from day to day.
  • Overreacts to loud noises or sounds.
  • May show need to “cock head” or extend neck to focus attention.
  • Always looks to see what others are doing before responding to verbal direction.
  • Verbalizes whatever comes to mind; responses may not be appropriate to questions, topics, or situations.