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Listening
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OVERVIEW

Although the DLS program length varies per individual, a typical program involves 23-30 sessions of 1 hour and 20 minutes each, with one or two 3-week breaks in the middle. Sessions occur 2-3 times per week. The entire program, including the 3-week break(s), is usually completed within a 3-4 month period.

Prior to beginning the program, we have a brief phone conversation with you to discuss your challenges and to determine suitability for a listening program.

Step I - Listening Test and Evaluation
We hear sounds via bone conduction (a process which begins prior to birth) and air conduction.

The Listening Test measures both bone and air conduction, and provides the basis for the client's remediation program. The test takes about 20 minutes and is given again at varying stages throughout the program to gauge progress and provide feedback to the clinician. An extensive interview and evaluation are done concurrent with the Listening Test to review relevant history, concerns and goals.

Step II - Reviewing Your Auditory Training Program with Your Clinician
The specific program for each client is determined after the client interview/assessment and Listening Test analysis. Each individualized program outlines the length and number of listening sessions, combined with other interventions we may employ.

Step III - The Program
All programs vary according to the client's specific condition; however, a typical core program involves 23-30 sessions @ 1 hour and 20 minutes each, with one or two 3-week breaks in the middle. There are 2 phases, receptive and expressive, which model the sequence of developmental language acquisition.

Phase I - The Receptive Phase: This phase combines full spectrum with filtered sounds, primarily classical music, at gradually increasing frequencies (filtration and frequency range vary according to client's condition and developmental age - i.e. highly filtered music can be too stimulating to an immature nervous system, as seen in children with autism and neuro-developmentally delayed children). The receptive phase of the program "opens" the ear, charges the nervous system and improves auditory processing. The duration of this phase is generally 15 sessions @ 1 hour and 20 minutes each. A Listening Test and consultation are given at Session 7 or 8, and again at Session 15.

     > Three-Week Break allowing for assimilation <

Phase II - The Expressive Phase: Following a 3-week break, a Listening Test is given again, changes/feedback are discussed, and the program for the next 8 sessions is reviewed. The expressive phase addresses the ear-voice control loop, that is, the energizing effect and experience of hearing one's own voice. The client hums, sings, or speaks into a microphone; the sounds are electronically enriched and fed back through the headphones. This "expressive listening" increases the ability to truly listen to one's self and to move into effective dialog and communication with others. A listening test is given at the end of the 8 sessions.

     > Three-Week Break allowing for assimilation <

Phase III - a final 7-session phase begins.

Completion/Follow-up: Upon completion of the program, a review of initial goals is undertaken and progress is evaluated. A follow-up consultation with us after 2-3 months is advisable to ensure that the gains are stable and being maintained. This follow-up appointment is usually offered at no charge.

Activities During Listening: The DLS headsets have long cords so listeners are free to walk about, play games, or just rest. Children usually enjoy "quiet activities" such as crafts, playing with toys, painting, etc., while most adults prefer to sit and listen quietly. Homework, office work, and intense mental activities are discouraged. Chewing gum and eating are not allowed as they might interfere with auditory processing.

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