#BSP 23 | 聽力正常，但聽唔明？原來係APD | Normal Hearing, But Can't Process What They Hear? Let's Talk APD

小朋友聽到，但係咪真正「聽得明」？

有啲小朋友聽力測試正常，日常卻經常聽漏指令、容易分心、喺嘈雜環境跟唔上對話。呢啲表現究竟係注意力、語言理解問題，定係近年備受爭議嘅「聽覺處理障礙」（APD）？

今集，Chloe 邀請到 Winnie——一位先喺香港修讀言語治療、再喺英國取得聽力學資格嘅雙重專業人士。憑住言語治療同聽力學兩方面嘅訓練，Winnie 會同我哋拆解「聽得到」同「處理得到」之間嘅分別，亦會比較英國 NHS、香港同澳洲嘅治療生態。

我哋亦會揭開英國公共醫療制度背後嘅現實：漫長嘅言語治療輪候時間、所謂嘅「郵遞區號彩票」，以及點解你住喺邊個地區，可能直接影響孩子能否獲得支援。

今集內容包括：

• 英國 NHS 言語治療轉介流程，問題通常出現喺邊一環
• 乜嘢係「郵遞區號彩票」，點解服務差異可以咁大
• 「Right to Choose」計劃原本點樣幫助家庭，點解近年逐步收緊
• 聽覺處理障礙（APD）究竟係乜，常見表現有哪些
• 點解 APD 診斷一直充滿爭議：症狀重疊、測試標準不一，以及難以同語言或注意力問題區分
• 懷疑 APD 前必須先做嘅一步：完整聽力評估，以及排除中耳積水（glue ear）
• 家長同治療師可以即時使用嘅支援方法，包括減少背景噪音、調整課室位置及使用遠端麥克風系統
• 英國、香港同澳洲執業環境有咩不同，對治療師同家庭有咩實際啟示

今集唔係要急住為孩子貼上 APD 標籤，而係幫助家長同專業人士更有系統咁理解：當一個小朋友「好似聽唔到」時，我哋究竟應該由邊度開始調查，又可以點樣提供真正有效嘅支援。

• Winnie on Instagram: @speechie.audiologie
• Blackburn Speech & Paediatric Therapy: blackburnslp.com.au/resources
• Find Chloe on Instagram: @phd.speechie.mum

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Your child can hear—but are they truly processing what they hear?

Some children pass a standard hearing test, yet still miss instructions, become easily distracted, or struggle to follow conversations in noisy environments. Are these signs of attention difficulties, language comprehension challenges, or the highly debated condition known as Auditory Processing Disorder (APD)?

In this episode, Chloe speaks with Winnie, a dual-qualified professional who trained in speech pathology in Hong Kong before qualifying as an audiologist in the UK. With expertise across both speech pathology and audiology, Winnie explains the difference between being able to hear sound and being able to process it. She also compares the therapy landscape across the UK NHS, Hong Kong, and Australia.

We also explore the reality of accessing public speech therapy in the UK, including lengthy waiting lists, the so-called “postcode lottery,” and how where a family lives can directly affect whether a child receives support.