Our Personal Integrated Approach to Hearing Care

When considering a hearing aid, being able to hear conversational speech more clearly is often a priority, but better hearing when listening to music, watching television, at the theater, in school or church may also be important to you.

At Audiology and Speech Solutions our focus is on helping you to achieve your communication goals, whatever your lifestyle. Our principle audiologist Dr. Nancy Datino brings over 30 years of experience, blending detailed knowledge of hearing aid technology and assisted listening equipment with expertise in speech therapy and aural rehabilitation to provide you with highly personalized integrated care.

A Comprehensive Service for Peace of Mind

Modern digital hearing aids are discrete, lightweight and simple to operate. However, the powerful signal processing electronics they contain must be carefully programmed to suit each user’s unique hearing profile in order to provide optimal benefit.

Typically, a hearing aid dispenser will perform a basic pure tone hearing test, and will use the results to set the sound level of the hearing aid. They may then perform an automated test called a real ear measurement or REM that uses noise signals to check the performance of the hearing aid within the user’s ear.

While these types of test are important, their results do not always correspond well to a person’s ability to hear real-world sounds such as speech, and they lack the sensitivity to rule out several potentially serious health conditions as an underlying cause of hearing loss.

The Audiology and Speech Solutions protocol includes tests that use speech and speech-in-noise signals to build a more complete picture of your hearing with and without hearing aids. As a licensed audiologist rather than a hearing aid dispenser, Dr. Datino is also qualified to offer a comprehensive range of diagnostic tests at our offices in Lower Westchester County, so you can rest assured that your hearing health is in safe hands.

Your Partner in Communication Success

A common misconception about hearing aids is that they will instantly restore hearing in the same way that putting on a pair of glasses can restore vision. Unlike corrective eyewear, it can take time and practice to get the most out of a new hearing aid. Unfortunately, many people do not realize this, and give up on their hearing aids before they have had time to adjust, thus missing out on the benefits they can offer.

At Audiology and Speech Solutions, we understand that fitting a hearing aid may be just a first step towards meeting your communication needs. Many people are aware of the benefits of physical therapy after an injury; Research has shown that taking part in aural rehabilitation can significantly improve hearing aid outcomes in the same way. With extensive experience in hearing therapy, Dr. Datino is ideally placed to deliver your carefully tailored program of auditory rehab, taking your unique circumstances into account and giving focus to the listening situations you find most challenging.

Whatever your individual needs and goals, Audiology and Speech Solutions provides the knowledge and experience to support you throughout your journey to better hearing.

To learn more about our comprehensive diagnostic, hearing aid fitting and aural rehab services, please get in touch.



Asha.org (2013). Adult Aural Rehabilitation. [online] Retrieved from: http://www.asha.org/public/hearing/Adult-Aural-Rehabilitation/ [Accessed: 25 Aug 2013].

Asha.org (2009). New York Licensing Requirements for Audiology and Speech-Language Pathology. [online] Retrieved from: http://www.asha.org/advocacy/state/info/NY/licensure/ [Accessed: 25 Aug 2013].

Asha.org (2013). New York Licensing Requirements for Hearing Aid Dispensers. [online] Retrieved from: http://www.asha.org/Advocacy/state/info/NY/New-York-Hearing-Aid-Dispensing-Requirements/ [Accessed: 25 Aug 2013].

Boothroyd, A. (2007). Adult aural rehabilitation: what is it and does it work? Trends in amplification, 11 (2), 63-71.

URL http://dx.doi.org/10.1177/1084713807301073


Hearingresearch.org (2007). RERC – Hearing Aid Services and Satisfaction: The Consumer Viewpoint. [online] Retrieved from: http://www.hearingresearch.org/ross/hearing_aid_use/hearing_aid_services_and_satisfaction_the_consumer_viewpoint.php [Accessed: 25 Aug 2013].

Howsyourhearing.com (n.d.). How’s Your Hearing? Ask an Audiologist.. [online] Retrieved from: http://www.howsyourhearing.com/auralrehabilitation.html [Accessed: 25 Aug 2013].


MeSH Headings: Correction of Hearing Impairment; Hearing Aids.

MeSH Identifiers: E02.831.671, H02.403.680.600.500, N02.421.784.377; E07.814.458.



Auditory Processing Disorder

Auditory processing disorder (APD), also referred to as central auditory processing disorder (CAPD), describes problems originating within the areas of the central nervous system responsible for processing sound. In most cases, an individual with APD will have no significant hearing loss, but will struggle to make sense of the signals their ears supply, leading some to describe APD as “dyslexia of the ears”.

APD can affect adults and children, and it is possible to acquire the disorder in adulthood as a result of damage to the central nervous system occurring through illness or injury.

Common Symptoms

The symptoms of APD are subjective and can vary significantly between individuals. However, many people with APD:

–  Find it particularly difficult to follow speech in noisy environments

–  Struggle to understand instructions or recall information delivered verbally

–  Have problems with reading and spelling

–  Have difficulty discriminating between speech sounds.

Behavioral problems and poor academic performance are also common amongst school-age children with APD. Parents or teachers may notice a child has difficulty communicating; they may perform poorly in reading or tasks involving verbal instruction while demonstrating their aptitude for learning elsewhere, or they may behave as if they have a hearing impairment in spite of passing school hearing screens.

Early Diagnosis and Intervention are Critical

Many factors can affect an individual’s ability to understand, recall and act upon auditory information and the symptoms of APD are common to numerous other disorders, including autistic spectrum disorders (ASD), specific language impairment (SLI), attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD), as well as developmental delay and acquired brain damage. It is also possible for an individual to have APD along with other disorders.

A diagnosis of auditory processing disorder can therefore only be reached following careful evaluation by a qualified audiologist skilled in administering and interpreting highly specialized tests of auditory function.

Confirming the presence of APD in children under seven years of age can present a particular challenge because the rate at which younger children’s brains develop can vary greatly, even within normal limits. However, if APD is suspected in a young child it is extremely important to seek help at the earliest possible opportunity because early intervention can do much to minimize the impact of the disorder upon many aspects of development, including language acquisition and behavior.

A Personalized Approach to Treatment

Management plans for auditory processing disorder must be carefully tailored to suit the needs of the individual. They may include interventions that directly target the specific form of APD present and/or exercises designed to enhance language skills, memory, attention and problem-solving capabilities to compensate more generally for the auditory deficit. Therapy can be delivered in a group or one-to-one setting, or via computer-based training packages.

Some individuals may also benefit from the use of assistive technologies, visual supports or additional training in communication strategies for themselves and the people they interact with regularly.

How Audiology and Speech Solutions Can Help

Based in lower Westchester County, Audiology and Speech solutions offers a comprehensive range of services to help individuals with APD to reach their full potential for effective learning and communication.

Our services include:

  • Diagnostic testing performed by an audiologist skilled in early identification of APD
  • Highly individualized one-to-one treatment plans
  • Fitting of hearing aids, Frequency Modulated (FM) systems and other assisted listening devices
  • Group therapy delivered at our lower Westchester County offices
  • Computer-based therapies including FastForward and Integrative Worx.
  • School consultations.

For more information on how we can help, please contact us at 914 588 8088.


American Academy of Audiology (2010). Practice Guidelines for the Diagnosis, Treatment, and Management of Children and Adults with Central Auditory Processing Disorder (CAPD). American Academy of Audiology Practice Guidelines. [report] American Academy of Audiology.

URL http://www.audiology.org/resources/documentlibrary/Documents/CAPD%20Guidelines%208-2010.pdf

Asha.org (2013). Auditory Processing Disorders (APD) in Children. [online] Retrieved from: http://www.asha.org/public/hearing/disorders/understand-apd-child.htm [Accessed: 7 Aug 2013].

Chermak, G. D., Hall, J. W., & Musiek, F. E. (1999). Differential diagnosis and management of central auditory processing disorder and attention deficit hyperactivity disorder. Journal of the American Academy of Audiology, 10(6), 289–303.
URL http://view.ncbi.nlm.nih.gov/pubmed/10385872

MeSH Identifier: C09.218.807.186.094