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 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google 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 Google 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 Google 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.
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.