Pediatric Pioneers Episode 22: Sound Sensitivity: Why Do Kids With Normal Hearing Struggle?
In this episode, neuro-audiology expert Dr. Sarah Wakefield, AuD [https://www.medbridge.com/about/instructor/sarah-wakefield], joins host Nicole Quint, PhD, DrOT, OTR/L [https://www.medbridge.com/about/instructor/nicole-quint], to uncover why children with normal peripheral hearing often face hidden battles with auditory processing and decreased sound tolerance conditions. Together, they explore how the brain interprets sound, shifting the narrative away from “bad behavior” to reveal how conditions like misophonia and hyperacusis deeply impact a child’s daily function. You will learn how to spot clinical signs like listening fatigue, discover why standard habits like overusing headphones might backfire, and gain actionable, interdisciplinary strategies to maximize your patients’ functional participation. Tune in to discover how you can collaborate across disciplines to transform your pediatric practice and confidently support your neurodiverse clients.
Learning Outcomes
* Analyze the evidence around clinical auditory processing and decreased sound tolerance conditions in pediatric conditions
* Apply evidence-based, practical strategies to actionably address the multidisciplinary assessment, diagnosis, and treatment of auditory processing and decreased sound tolerance conditions
* Solve patient case scenarios involving pediatric decreased sound tolerance and auditory processing conditions—such as misophonia and hyperacusis—to minimize the impact on daily activities and maximize functional participation
Timestamps
* (00:00:00) Welcome
* (00:02:24) Dr. Wakefield's journey into neuro-audiology
* (00:08:05) Auditory processing disorders (APD) in pediatric clients
* (00:10:47) What questions should therapists be asking about APD?
* (00:13:19) Prevalence and diagnosis of APD
* (00:18:28) Overlap with other neurodevelopmental disorders
* (00:21:47) Intervention strategies for APD
* (00:27:23) Exploring decreased sound tolerance (DST)
* (00:34:07) Auditory gain and the central auditory nervous system
* (00:39:55) Interventions for hyperacusis and misophonia
* (00:43:56) Collaborative approaches in therapy
* (00:46:30) Screening tools for APD and DST
* (00:50:17) The efficacy of environmental modifications
* (00:57:36) Actionable takeaways for therapists
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