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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semi-structured, structured interview that has been developed to improve ADHD assessments for adults. This study is aimed at assessing the validity of the criterion used to determine DIVA 2.0 as well as its validity in conjunction with Conners Adult ADHD Diagnosis Interview for DSM-IV 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. Symptoms ADD/ADHD symptoms affect all aspects of our lives, from relationships to career advancement, and the daily tasks we perform. It is important that our ADHD assessment is a holistic view, examining how symptoms affect all aspects of life. Dr Schilling will begin by assessing your symptoms and medical history. She will then conduct a DIVA 5 assessment. This is a semi-structured, structured interview that evaluates both the core symptoms and the impact of ADD/ADHD your life. The DIVA is an interview tool for diagnosing ADHD. It was developed by psychiatrists and psychologists to assess adult ADHD symptoms. It has been proven to have high sensitivity and a high degree of specificity. It is also highly effective in identifying those with the disorder. It has the potential to increase awareness of, and the diagnosis of, adult ADHD in Korea since it is the only validated semi-structured diagnostic interview for adults with ADHD available in the country. To perform the DIVA, a trained clinician usually psychologist or psychiatrist will inquire about the primary symptoms of ADHD such as hyperactivity, inattention, and an impulsive nature. The psychologist will also analyze the background of the person as well as their childhood experiences and the impact on their present behavior. This is because the symptoms of ADHD do not just appear at a moment's notice, they are developed throughout the teen years, and into adulthood. The DIVA can detect ADHD due to its consideration of both the DSM-IV ADHD criteria in the early years and later in adulthood, and how these symptoms have affected the person's daily functioning across five areas – employment, education and family/partner relationships and leisure/social activities, as well as confidence in oneself. Other screening tools, like the WURS brief, which was compared with the CAADID revealed low sensitivity and negative predictive value. Diagnosis To determine ADHD in adults, it is important that you evaluate the symptoms as well as their history. This can be done through an extensive interview regarding childhood symptoms as well as an assessment of the neurocognitive. It is also essential to consider the effects of the symptoms the person's work and life. This can be assessed by using a structured interview, the DIVA and, in certain cases, getting information from family and friends. The DIVA is a semi-structured interview that was initially developed to be used with adults in the Netherlands. It has been redesigned for use with adult patients in other countries as well, including Korea. The study examined the criterion applicable to the Korean version (DIVA-5) in an actual clinical sample of adults with ADHD. During the DIVA the doctor will inquire about ADHD symptoms during the early years of life and into adulthood. They will also ask the age at which they first noticed symptoms and the level of impairment triggered by these symptoms. The doctor will also collect different sociodemographic information and inquire about any psychiatric-related co-morbidity. The MINI-S as well as Version 5.0.0 The MINI-S plus Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), along with the Frontal Assessment Battery were used to screen for psychiatric co-morbidity. A diagnosis of clinical ADHD was established by two experienced psychiatrists who used the DIVA-5, a structured diagnostic interview, to determine the severity of symptoms in the early years and in childhood, and determine the duration of these 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 with the WURS scale, and fair validity when compared to three self-report ratings instruments: 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 to that of a clinical diagnosis formulated by two renowned psychiatrists. This was in line with the specificity and sensitivity of previous screening tools, such as the ASRS and the WURS. Treatment Undiagnosed ADHD can have a significant impact on your life. This can be in many areas from your relationships, academic progress and work to the simple tasks of organising your day-to-day life. A diagnosis can help you determine your strengths and weaknesses and also provide treatment options to improve your symptoms and coping mechanism. A trained professional (typically psychiatrists or psychologist) will have a structured conversation with you, using the DIVA-5 tool to evaluate your current symptoms. This will involve regular questions about your levels of hyperactivity, inattention and an impulsiveness. It will also examine your personal history, including your childhood experiences to create the full picture of your symptoms. This method is essential to a complete adult ADHD diagnosis. It also allows us to determine the root of your symptoms, which will help guide your treatment. his comment is here can be used to diagnose adult ADHD with high specificity and sensitivity. It has also been shown to have sound criterion validity, when compared to self-report rating scales such as the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concurrent validity with these scales, and good validity with Sheehan's Dysfunction Inventory. Unlike the more traditional methods for assessing ADHD in adults, the DIVA test is focused on identifying and discussing the symptoms that are present in both childhood and in adulthood, thus increasing the accuracy of the diagnosis and allowing for an easier comparison of sociodemographic characteristics of the two groups. The DIVA evaluation also gives an opportunity to think about the effects of co-occurring disorders on the presentation of ADHD symptoms. If your Psychologist is unable to recommend medication, it may be necessary to schedule an appointment with a Paediatrician or Psychiatrist for a further assessment and/or therapy. They will then refer you to an expert Psychologist for more thorough evaluation of your symptoms, and to assess for differential or co-occurring diagnoses. This includes assessing co-occurring conditions, such as depression or anxiety. This will help your Psychologist suggest a suitable treatment plan. Getting Started A diagnosis of ADHD can alter your life. It offers solutions to persistent issues and opens the way to effective treatment options. A good evaluation does require the expertise of qualified healthcare providers. The DIVA ADHD assessment, a structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by evaluating symptoms at different life stages. It also helps identify patterns of behavior and distinguishes between ADHD symptoms and other conditions that can exhibit similar symptoms for adults, such as anxiety or depression. In a DIVA ADHD assessment, a clinician uses a structured interview to ask a series of questions about symptoms of inattention, hyperactivity and an impulsiveness. The clinician evaluates the frequency, severity and duration of these symptoms in order to understand how they impact on the individual's life and how they function in various settings. This information can be used to make an accurate diagnosis. The DIVA assessment has been verified against other diagnostic tools and shows 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 that include education and work relationships with family and home social connections, leisure time and hobbies. For a valid DIVA assessment, the individual being evaluated as well as their family and friends need to be present. This will help to build trust and a therapeutic bond that is important for the success of the evaluation. A qualified psychologist or psychiatrist who has been trained in the use of the DIVA ADHD assessment can provide a detailed report. This report will outline the results of the assessment and provide a treatment strategy that is based on the evidence. If you suspect that you or someone you love might be suffering from ADHD, please contact us for an appointment. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and is able to provide an assessment. She will then make a referral to a specialist to create an effective treatment strategy. Be aware that the recommended treatment approach is a combination of medications and psychotherapy.