Central Sound Sorting
Decode Brain's Audio Puzzles
Hearing is not only about detecting sound in the ears but also about how the brain processes and makes sense of it. When this processing is disrupted, people may hear sounds clearly yet struggle to follow speech, especially in noise. Difficulties can affect concentration, memory for spoken information, and everyday communication, often without obvious hearing loss.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Assessing Sound Processing Beyond the Ear
Evaluating How the Brain Handles Sound
Auditory processing tests assess how effectively the brain interprets and organises sound information after it reaches the ears. A structured set of listening tasks is used to evaluate skills such as speech discrimination in noise, sound sequencing, and auditory attention. These tests go beyond standard hearing assessments and focus on central processing rather than just sound detection.
At Harley Street Audiovestibular Clinic, auditory processing testing is conducted in a controlled clinic setting and tailored to the individual's symptoms and listening demands. The assessments are non-invasive and safe. Results help identify specific processing weaknesses and distinguish auditory processing difficulties from hearing loss or attention-related issues.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
A Structured Approach to Listening Difficulties
APD Assessment Authorities
Assessment begins with a detailed history, ear examination, and comprehensive hearing tests to confirm normal or near-normal hearing sensitivity. We recommend auditory processing testing when listening difficulties persist despite routine results.
Management is non-surgical. Findings guide listening strategies, auditory training, environmental adjustments, and monitoring. Referral or further investigation is considered only when difficulties persist, worsen, or significantly affect academic, professional, or daily communication despite appropriate support.
Rewire Listening with Our Clinicians
At Harley AVM, auditory processing assessments are interpreted by clinicians with expertise in hearing and central auditory pathways. Our audiovestibular focus allows us to place results in meaningful context, linking test findings with real-life listening demands, cognitive load, and communication goals. We prioritise clear explanation and collaborative decision-making at every stage.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity of care and consistent guidance. If listening feels effortful, speech remains hard to follow, or communication challenges persist despite normal hearing tests, we invite you to book an assessment, request a call back, or submit an enquiry to explore tailored next steps with our team.
Major Insurance Providers Accepted
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.