
Auditory Processing Disorder in Adults with ADHD: Understanding the Overlap and Supporting Your Journey
By Elaine Collins, Registered Psychologist, Australia
Summary: This article aims to shed light on the intersection of Auditory Processing Disorder and Attention Deficit Hyperactivity Disorder in adults, highlighting the compounded challenges they present. It underscores the importance of tailored strategies and accommodations in managing these conditions effectively. Furthermore, it introduces our online CBT Program modules as a practical resource to support adults in overcoming these challenges through flexible, evidence-based learning.
Introduction
Living with Attention Deficit Hyperactivity Disorder (ADHD) as an adult presents unique challenges, from managing time effectively to maintaining focus in various settings. When Auditory Processing Disorder (APD) coexists with ADHD, these challenges can become more complex. APD affects how the brain processes auditory information, leading to difficulties in understanding and interpreting sounds, especially in noisy environments. This article explores the intersection of APD and ADHD in adults, highlighting symptoms, challenges, and strategies for effective management.
Understanding Auditory Processing Disorder (APD)
APD is a neurological condition where the brain has trouble processing sounds, despite normal hearing abilities. Individuals with APD often struggle to distinguish between similar sounds, follow verbal instructions, or comprehend speech in noisy settings. These difficulties are not due to hearing loss but rather the brain’s inability to interpret auditory information accurately (Chermak & Musiek, 2014).
The Overlap Between ADHD and APD
ADHD and APD share several symptoms, including inattention, distractibility, and difficulty following instructions. This overlap can make diagnosis challenging, as the symptoms of one condition may mask or mimic those of the other. Research indicates that individuals with ADHD are more likely to experience auditory processing challenges, suggesting a significant comorbidity between the two conditions (Healthline, 2023).
Symptoms of APD in Adults with ADHD
Adults with both ADHD and APD may experience:
- Difficulty following conversations, especially in noisy environments.
- Challenges in understanding verbal instructions, leading to frequent requests for repetition.
- Sensitivity to background noise, causing distraction and frustration.
- Misinterpretation of spoken information, resulting in misunderstandings.
- Avoidance of situations requiring active listening, such as meetings or phone calls (ADDitude, 2023).
These symptoms can significantly impact daily functioning, affecting relationships, work performance, and overall quality of life.
Life Challenges Posed by APD in ADHD Brains
The coexistence of APD and ADHD can lead to compounded difficulties:
- Academic and Professional Impact: Struggles with processing auditory information can hinder learning and job performance.
- Social Interactions: Misunderstandings due to misheard information can strain relationships.
- Emotional Well-being: Persistent challenges may lead to frustration, anxiety, and low self-esteem.
- Daily Functioning: Tasks requiring auditory comprehension, such as following directions or engaging in conversations, become more taxing (Medical News Today, 2021).
Cognitive Behavioural Therapy (CBT) as a Supportive Framework
CBT is an evidence-based approach that helps individuals identify and modify negative thought patterns and behaviours. For adults with ADHD and APD, CBT can:
- Enhance coping strategies: Develop techniques to manage distractions and improve focus.
- Improve communication skills: Learn methods to clarify misunderstandings and express needs effectively.
- Boost self-esteem: Address negative self-perceptions stemming from ongoing challenges (Young & Amarasinghe, 2010).
Managing APD in Adults with ADHD: Strategies and Accommodations
When Auditory Processing Disorder (APD) coexists with Attention Deficit Hyperactivity Disorder (ADHD), adults often face compounded challenges in processing auditory information. This dual diagnosis can disrupt learning experiences and trigger stress responses, making it essential to implement effective strategies and accommodations.
Identifying Learning Challenges
Adults with both APD and ADHD may experience:
- Difficulty following verbal instructions, especially in noisy environments.
- Frequent requests for repetition or clarification.
- Challenges distinguishing between similar sounds or words.
- Avoidance of situations requiring active listening, such as meetings or lectures.
These challenges can lead to misunderstandings, decreased self-esteem, and increased anxiety (Rodden, 2025).
Implementing Effective Accommodations
To mitigate these challenges, consider the following accommodations:
- Environmental Modifications: Utilize noise-cancelling headphones or select quiet study areas to minimize background noise (Verywell Mind, 2022).
- Visual Aids: Incorporate charts, diagrams, and written instructions to supplement auditory information (NeuroLaunch, 2024).
- Assistive Technology: Employ speech-to-text applications or record lectures for later review (ADDitude, 2023).
- Structured Learning Materials: Use guided workbooks and bite-sized chapters to organize information and reduce cognitive overload.
By identifying specific learning challenges and selecting appropriate accommodations, adults with ADHD and APD can create a more supportive learning environment that mitigates stress responses and enhances comprehension.
Our Online CBT for Adult ADHD Course: Tailored Support for APD
Recognising the unique challenges faced by adults with both ADHD and Auditory Processing Disorder (APD), our online Cognitive Behavioural Therapy (CBT) course is meticulously designed to accommodate diverse learning needs. This self-paced program offers immediate access to all modules upon enrolment, allowing learners to engage with the content at their convenience. The course is compatible with various devices, including desktops, laptops, tablets, and smartphones, providing flexibility in how users choose to learn.
Key Features:
- Immediate Access: Begin your journey without delay, accessing all modules upon enrolment.
- Flexible Learning: Compatible with desktops, laptops, tablets, and smartphones, allowing you to learn at your convenience.
- ADHD-Friendly Features:
- Guided Workbooks: Structured materials to reinforce learning.
- Adjustable Playback Speeds: Control the pace of video content to suit your processing speed.
- Bite-Sized Chapters: Manageable segments to prevent overwhelm.
- Practical Techniques: Step-by-step examples applicable to real-life situations.
- Interactive Components: Engaging activities to reinforce learning.
- Captions with Word Highlighting: Visual support to aid comprehension.
- Customisable Auditory Preferences: Options to mute audio and rely on subtitles, catering to those with auditory sensitivities.
- Audio-Guided PowerPoint Presentations: Ideal for auditory learners, these can be used similarly to podcasts, allowing for multitasking during learning sessions.
Upon completion of the course, learners retain access to their comprehensive workbook, serving as a valuable resource for ongoing reference and reinforcement of strategies learned.

CBT For Adults with ADHD self-paced Programs
Online Cognitive Behavioural Therapy (CBT) Programs for Adults with or without a formal diagnosis of Attention Deficit Hyperactivity Disorder (ADHD). Offers foundational strategies for emotional regulation, executive functioning, goal setting, time management, better sleep, fitness, focus and parenting challenges with ADHD. Our programs are delivered completely online, self-paced, designed to fit your schedule and allow you to learn at your own pace, regardless of location. You’ll find various resources, exercises, and tools to help you better understand ADHD and develop effective strategies to manage its impact on your daily life.
Conclusion
Navigating the complexities of ADHD and APD as an adult can be challenging, but with the right support and strategies, it is entirely manageable. Understanding the interplay between these conditions is crucial in developing effective coping mechanisms and improving overall quality of life. Our tailored CBT course is designed to address these unique challenges, providing flexible, accessible, and practical support to empower adults on their journey toward better focus, comprehension, and self-management.
If you’re ready to take proactive steps in managing your ADHD and APD, we invite you to explore our online CBT course modules. Designed with your unique needs in mind, this program offers the tools and flexibility to support your learning and personal growth. Click here to learn more and enrol today.
References
- ADDitude. (2023). Auditory Processing Disorder in Adults: Signs at Home & Work. Retrieved from https://www.additudemag.com/auditory-processing-disorder-in-adults/
- Chermak, G. D., & Musiek, F. E. (2014). Handbook of Central Auditory Processing Disorder, Volume II: Comprehensive Intervention. Plural Publishing.
- Healthline. (2023). ADHD and Auditory Processing Disorder: What’s the Connection?. Retrieved from https://www.healthline.com/health/adhd/adhd-and-auditory-processing
- Medical News Today. (2021). Auditory Processing Disorder: Symptoms, Causes, and Treatment. Retrieved from https://www.medicalnewstoday.com/articles/auditory-processing-disorder
- NeuroLaunch. (2024). Effective Auditory Processing Disorder Therapy Strategies. Retrieved from https://neurolaunch.com/auditory-processing-disorder-therapy/
- Verywell Mind. (2022). Sound Sensitivity in ADHD. Retrieved from https://www.verywellmind.com/adhd-symptom-sound-sensitivity-5272331
- Young, S., & Amarasinghe, J. M. (2010). Practitioner Review: Non‐pharmacological treatments for ADHD: A lifespan approach. Journal of Child Psychology and Psychiatry, 51(2), 116-133.