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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is an interview with a semistructured format that was developed to improve ADHD assessment in adults. This study is designed to assess the reliability of the criteria used to determine DIVA 2.0 and its concurrent validity in comparison with Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID) criteria. Compared to the top 20 attributes, DIVA attributes that correlate strongest with diagnosis are attention deficit for both childhood and adulthood and hyperactivity/impulsivity for adults, followed by CAARS ADHD TT1 score and IOWA personality disorders evaluation. Signs and symptoms The symptoms of ADD/ADHD affect every aspect of our lives from relationships to career advancement, and the everyday tasks we have to perform. It is crucial that our ADHD assessment takes a comprehensive view, examining how symptoms impact all aspects of our lives. During your evaluation, Dr. Schilling will begin by obtaining details of your symptoms and health history. She will then take the DIVA 5 assessment, a semi-structured interview designed to evaluate both the core symptoms of ADD/ADHD and how those symptoms have impacted your life. The DIVA is a diagnostic interview tool developed by psychiatrists and psychologists to determine adult ADHD symptoms. It has been demonstrated to be extremely sensitive and precise. It is highly effective at identifying people suffering from the disorder. It can increase awareness and help diagnose adult ADHD in Korea because it is the only validated semistructured diagnostic test available in the country. A trained clinician, usually a psychiatrist, will ask questions to determine the most prominent symptoms of ADHD. These include inattention, hyperactivity and an impulsive nature. The doctor will also dig into the individual's history and examine their childhood experiences and how they may have affected their current behaviours. This is because the signs of ADHD do not just appear at a moment's notice, they are developed throughout the teen years, and into adulthood. The DIVA is able to effectively identify those with ADHD, as it takes into consideration both the DSM-IV criteria for ADHD in childhood and adulthood, and how those symptoms have affected the individual's daily functioning in five different areas of life: education and work, family/partnership relations and leisure time/social activities, and self-esteem and self-confidence. Other screening tools, like the WURS brief that was compared with the CAADID revealed low sensitivity and negative predictive value. Diagnosis To diagnose ADHD in adults it is crucial to assess the symptoms and their background. This can be done through an extensive interview about childhood symptoms and a neurological assessment. It is crucial to think about the impact that the symptoms have on the person's job and daily life. This can be evaluated using a structured clinical interview, the DIVA and, in some instances, getting information from family members and friends. The DIVA is a semi-structured interview that was initially designed for use with adults in the Netherlands. It has been revised for use with adult patients in other countries, including Korea. This study examined the validity of the criterion used to determine the Korean version of DIVA (DIVA-5) in a clinical sample of adult patients with ADHD. During the DIVA the clinician will ask about ADHD symptoms during the early years and in adulthood. They will also inquire about the age at which symptoms first started to manifest symptoms and the level of impairment triggered by these symptoms. adhd assessment women will also collect different sociodemographic information and inquire about any psychiatric co-morbidity. MINI-S plus Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), and the Frontal Assessment Battery were used to detect psychiatric co-morbidity. A diagnosis of clinical ADHD was determined by two psychiatrists with experience who utilized the structured diagnostic interview DIVA-5 to assess symptoms in both childhood and adulthood, and to determine the duration of those symptoms. The sensitivity and specificity of DIVA-5 was found to be high for both inattention and hyperactivity/impulsivity symptoms in childhood and adulthood. This diagnostic tool has good concurrent validity when compared to the WURS scale, and fair validity when compared with three self-report ratings instruments that include the ASRS (self-report rating), FAB (self-report rating) and Sheehan's Dysfunction Inventory. The sensitivity and specificity of the DIVA-5 was found to be high for all subtypes of ADHD in both inattention and hyperactivity/impulsivity in adulthood and during childhood. The accuracy of diagnosis of the DIVA-5 was found to be comparable with the accuracy of a diagnosis formulated by two renowned psychiatrists. This was in accordance with the specificity and sensitivity of previous screening tools like the ASRS and the WURS. Treatment If you are not diagnosed with ADHD it can greatly affect your life. This can affect your relationships, academic performance and work. It can also affect the way you manage your daily life. A diagnosis can help you determine your strengths and weaknesses as well as provide treatment options to improve your symptoms and cope mechanisms. A trained clinician, usually psychologist or psychiatrist will conduct a structured discussion with you about your current symptoms using the DIVA-5 assessment tool. This will involve asking standardised questions regarding your levels of hyperactivity, inattention and the tendency to be impulsive. It will also delve into your personal history, including childhood experiences, to gain a complete understanding of your symptoms and the impact they have on your life. This method is essential to ensure a thorough diagnosis of adult ADHD. This allows us to better understand your symptoms and inform your treatment. The DIVA assessment can be used to identify adult ADHD with high specificity and sensitivity. It has also shown to be a good criterion-validated test when compared with self-report scales such as Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good consistency with these scales and reasonable validity with Sheehan's Dysfunction Inventory. Contrary to the more conventional methods for assessing ADHD in adults, the DIVA assessment focuses on identifying and discussing symptoms that can be observed in childhood and adulthood, thereby increasing the accuracy of the diagnosis and allowing a more accurate comparison between the sociodemographic characteristics of both groups. The DIVA evaluation also provides an opportunity to consider the effect of co-occurring conditions on the manifestation of ADHD symptoms. If your Psychologist is not able to recommend medication, it could be necessary to schedule an appointment with a pediatrician or Psychiatrist for further assessment and/or therapy. They can then refer you to a specialist Psychologist for further thorough evaluation of your symptoms, and to assess for co-occurring diagnoses and differentials. This includes assessing any comorbid conditions, like anxiety or depression. This will enable your Psychologist to suggest an appropriate treatment plan. Getting Started A diagnosis of ADHD can transform your life. It can provide answers to long-standing problems and opens the door to effective treatment options. However, a thorough evaluation requires the expertise of experienced medical professionals. The DIVA ADHD assessment is a structured and comprehensive tool that can help to improve the accuracy of adult ADHD diagnosis by assessing symptoms across different life stages. It also detects patterns of behavior that are persistent and assists in determining the difference between ADHD symptoms and other conditions, such as anxiety or depression. In an DIVA ADHD evaluation, a clinician will use a structured interview in order to ask a series questions regarding symptoms such as hyperactivity, inattention, and the tendency to be impulsive. The clinician evaluates the frequency, severity and duration of these symptoms in order to understand how they impact the individual's life and functioning in several settings. This information can then be used to create an accurate diagnosis. The DIVA assessment has been validated against other diagnostic tools and exhibits high sensitivity when compared with the WURS-brief and CAA-DID as well as a psychiatrist's assessment. It has also excellent validity in assessing ADHD in five areas of daily function such as education and work, relationships with family and home social connections, free time and hobby. For an accurate DIVA assessment, the person being evaluated as well as their family members and friends must be present. This helps to establish trust and strengthen the therapeutic bond that will be essential to the success of the evaluation. A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can write an in-depth professional report. This report will outline the results of the assessment and suggest a treatment plan that is based on the evidence. If you suspect that you or a loved one may be suffering from ADHD If you suspect that someone you know may have ADHD, please call us for an appointment. Our doctor Kate Schilling has been trained to use the DIVA ADHD assessments and is able to provide a comprehensive evaluation. She can then make an appointment with a specialist to create an effective treatment plan. Please be aware that the recommended treatment method is a combination of medication and psychotherapy.