The questions that matter, answered plainly.
Honest answers about how this works, what to expect, and whether it's right for you. If you're still not finding what you need, send us a message — a real reply comes from the clinician, not a bot.
Yes. APD is well-documented in adults, and many people who are told their hearing is "normal" are in fact struggling with auditory processing, not peripheral hearing. The challenge is that most clinics aren't equipped to test for it at the phoneme level — which is where it actually shows up. We use the Buffalo Model, a recognized evaluation standard, starting at the foundation where most providers never look.
No. You can book a free 15-minute discovery call directly — no referral, no prior diagnosis, no paperwork before we speak. If we think another specialist is a better fit for what you're describing, we'll tell you on that call, at no charge.
Often, yes. A standard audiogram rules out peripheral hearing loss — it doesn't rule out auditory processing differences, tinnitus, hyperacusis, or misophonia. All of these can coexist with perfectly normal hearing test results, and they are exactly what this practice is built around.
Tinnitus, adult auditory processing disorder (APD), hyperacusis, and misophonia. These four conditions sit beside hearing loss, behind it, or instead of it — and they require a clinician specifically set up to evaluate and treat them. If what you're experiencing doesn't fit neatly into one of these, the discovery call is the right place to start.
The practice, the conditions, and who this is for.
What Auditory Pathway treats, why most clinics aren't set up for it, and what you need to know before deciding if this is the right fit. Four questions worth knowing.
For most consultations and therapy sessions, all you need is a reliable internet connection and a quiet room. For APD evaluations, you'll need your own wired headphones and a laptop or desktop computer — these give the most reliable testing conditions.
More accurate than most people expect. Processing evaluations — particularly APD — are often better suited to a quiet home environment than a busy clinic. Using wired headphones on a laptop or desktop ensures a reliable connection for testing, and your clinician will confirm everything is set up correctly before the evaluation begins.
It happens, and it's never held against you. Sessions are scheduled with buffer time built in, and if a connection issue affects the quality of an evaluation, we reschedule the affected portion at no extra cost. You'll be walked through the platform before your first session so there are no surprises.
We use a HIPAA-aligned telehealth platform for US patients and a GDPR-compliant system for UK and Ireland patients. You'll receive a link before your session — no downloads, no logins to manage between appointments.
What telehealth audiology
actually means here.
Specialist evaluations and care delivered remotely — calibrated, structured, and clinically equivalent to the in-room version for the conditions we treat. Four questions worth knowing.
It's 15 minutes — unhurried, no agenda beyond getting clear on what you're experiencing and whether this is the right fit. You'll speak directly with the clinician. No intake forms before the call, no commitment after. If we're not the right match, you'll leave with a clear sense of where to go next.
Evaluations are typically 60 to 90 minutes depending on the conditions being assessed. Unlike a standard clinic screen, the evaluation here is thorough — phoneme-level where needed, functional throughout. You'll leave with a clear picture of what's happening and why, not a referral to come back next month.
Sessions are built around your evaluation findings, schedule, and goals — not a fixed protocol applied to everyone. Frequency, duration, and content are adjusted as you progress. Most patients describe the ongoing phase as the first time someone has actually walked beside them through this, rather than handing them a plan and stepping back.
It means techniques grounded in CBT principles — identifying thought and behavioral patterns that amplify distress responses to sound, building practical tools for reducing reactivity, and integrating sleep and stress work where relevant. In states where CBT itself falls outside audiology scope of practice, this is delivered explicitly as CBT-informed technique, not psychotherapy. Patients who need psychotherapy are referred to an appropriate provider.
What happens, from first call to final session.
How the discovery call works, what a real evaluation looks like, and what treatment looks like when it's built around you — not a standard protocol. Four questions worth knowing.
Yes. Every message is read by your clinician directly — there is no front desk, triage team, or marketing pipeline. Intake is conducted through an encrypted system. US patient data is handled in line with HIPAA. UK and Ireland patient data is stored in compliance with GDPR. Your information is never used for marketing and is deleted on request, no questions asked.
Currently, sessions are offered on a private pay basis. Transparent per-program pricing and payment plan options are available. Once UK registration completes, NHS pathway access will be available for eligible UK patients — meaning some patients may be able to access care through the NHS at that point.
In most cases, yes — audiology evaluations and treatment programs are typically eligible expenses under HSA and FSA plans. We recommend confirming with your plan administrator, as eligibility can vary. We can provide itemized receipts for reimbursement purposes.
The discovery call is free. Evaluations and treatment programs are priced on a per-program basis and listed transparently on each service page. Payment plans are available. There are no surprise fees and no obligation following the initial call.
Your data, your costs, and no surprises.
How patient information is handled, what programs cost, and what to expect on the insurance and payment side before you commit to anything. Four questions worth knowing.
Most patients finish with a clear self-management toolkit — strategies, sound plans, and coping tools built around their specific evaluation findings. Where ongoing support makes sense, that's discussed openly before the program ends. Nothing is auto-renewed or continued without your agreement.
It's a real conversation we have early and often — not at the end. Progress is tracked session by session, and the plan adjusts when something isn't working. If a different approach or an outside referral would serve you better, that's said directly. The goal is your outcome, not session count.
Yes. Some patients return for a single follow-up, some for a new concern, some when life changes and they need a recalibration. There's no re-enrollment process — just reach out and we'll go from there.
Yes — and transparently. Hearing aid fittings go to a vetted local audiologist. Surgical or otologic concerns are referred to an ENT or otologist. Patients needing psychotherapy are referred to an appropriate provider while we continue on the audiology side. Patients outside our licensed regions are connected to an aligned practitioner near them. If we refer you, it's because it's the right next step — not because we're stepping away.
When the program ends, and what comes after.
What a completed program looks like, how progress is tracked along the way, and what happens if you need to return or be referred elsewhere. Four questions worth knowing.