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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semi-structured interview that was developed to improve ADHD assessments in adults. This study aims at evaluating the validity of the criterion used to determine DIVA 2.0 and its concurrent validity compared to 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. Signs and symptoms ADD/ADHD symptoms affect all aspects of our lives, from relationships to career advancement, and the everyday tasks we have to perform. It is important that our ADHD assessment takes a holistic view, examining how symptoms affect all aspects of life. During your assessment, Dr Schilling will start by gathering information about your symptoms and health background. She will then conduct the DIVA 5 assessment, a semi-structured interview that is designed to assess both the core symptoms of ADD/ADHD, and the impact these symptoms have had on your life. The DIVA is an instrument for diagnostic interviews created by psychologists and psychiatrists to determine adult ADHD symptoms. It has been demonstrated to be extremely sensitive and precise. It is also highly efficient in identifying people suffering from the disorder. It is able to raise 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 inquire about the core symptoms of ADHD. These include hyperactivity, inattention, and impulsivity. The doctor will also analyze the history of the individual and their childhood experiences and the influence on their behavior. This is because the signs of ADHD do not just appear in a flash, they manifest through the teenage years, and even into adulthood. The DIVA can effectively detect those suffering from ADHD, as it takes into account both the DSM-IV criteria for ADHD during childhood and into adulthood, and how those symptoms have affected an person's daily functioning in five areas of life: education and work, family/partnership relations and leisure time/social activities, and self-esteem and confidence in oneself. Contrary to this, other screening tools like the WURS-brief which was compared to CAADID, showed poor sensitiveness and negative predictive value. Diagnosis To diagnose ADHD in adults it is important that you evaluate the signs and symptoms along with their background. This can be done through an extensive interview regarding childhood symptoms as well as an assessment of the neurocognitive. It is also essential to look at the effects of the symptoms on the individual's life and work. This can be evaluated using a structured clinical interview, also known as the DIVA and, in some instances, asking for information from friends and family members. The DIVA is an interview with a semi-structured format that was initially designed for use with adults in the Netherlands. It has been refined for use 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 asks about the presence of ADHD symptoms during childhood and adulthood, the age at which the symptoms onset, and the severity of impairment resulting from these symptoms. The clinician also collects a variety of sociodemographic information and asks about any mental health co-morbidity. Patients were assessed for psychiatric co-morbidity using the MINI-S plus version 5.0.0 as well as the Brief Alcohol Related Neuropsychological Impairment Screening Instrument (BEARNI) and the Frontal Assessment Battery (FAB). A diagnosis of clinical ADHD was determined by two psychiatrists with experience who used the DIVA-5, a structured diagnostic interview, to evaluate symptoms in both adulthood and childhood and 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. The diagnostic tool was demonstrated to have good concordance with the WURS scale as well as fair concurrent validity with three self-report rating instruments: the ASRS, FAB, 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 diagnostic accuracy of the DIVA-5 was found to be similar to the accuracy of a diagnosis made by two experienced psychiatrists. This was in line with the sensitivity and specificity of earlier screening tools, like ASRS and WURS. Treatment If you are not diagnosed with ADHD, it can significantly affect your life. It can affect many areas, from relationships, academic and work progress to the simple task of managing your daily life. A diagnosis can help you determine your strengths and weaknesses as well as provide treatments that can help you manage your symptoms and mechanisms. A trained psychologist (typically psychiatrists or psychologist) will conduct an organized conversation with you using the DIVA-5 tool to evaluate your current symptoms. This will involve standardised questions regarding your levels of hyperactivity, inattention and an impulsiveness. It will also look into your personal history, including your childhood experiences, in order to gain a complete understanding of your symptoms and their impact on your life. This is essential to ensure a complete diagnosis of adult ADHD. It also helps us understand the root causes of your symptoms, which will help inform your treatment. The DIVA assessment can be used to determine adult ADHD with high sensitivity and specificity. It has also been demonstrated to have sound criterion validity when compared to self-report rating scales like the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concurrent validity these scales and has fair validity with Sheehan's Dysfunction Inventory. The DIVA evaluation, unlike the more conventional methods of assessing ADHD in adulthood, focuses on identifying symptoms that manifest in childhood and into adulthood. This increases the accuracy of diagnoses and allows for a more accurate comparison of sociodemographic traits between the two groups. The DIVA evaluation also offers an opportunity to look at the effect of co-occurring disorders on the manifestation of ADHD symptoms. If your Psychologist is unable to prescribe medication, you might require an appointment with a psychiatrist or a Paediatrician to discuss further assessment and/or treatment. You may be referred to psychologists who specialize in thorough assessment of your symptoms and to determine if there are any co-occurring diagnoses or differential diagnoses. This includes assessing co-occurring conditions, like anxiety or depression. This will enable your Psychologist the best treatment plan. Getting Started Getting diagnosed with ADHD can be life-changing providing explanations for long-standing problems and opening the door to effective treatment options. A successful evaluation requires the expert knowledge of qualified healthcare professionals. The DIVA ADHD assessment, which is a structured and comprehensive tool, helps improve adult ADHD diagnosis accuracy by analyzing symptoms across different stages of life. It also detects patterns of behavior that remain and helps distinguish between ADHD symptoms and other conditions, such as anxiety or depression. In the DIVA ADHD assessment, a clinician conducts a structured interview to ask several questions regarding symptoms of inattention, hyperactivity and impulsivity. The clinician assesses the severity, frequency and duration of symptoms to determine the extent to which they affect the individual in different settings. This information can be utilized to establish a precise diagnosis. The DIVA assessment has been validated in comparison with other diagnostic tools. It has high sensitivity in comparison to CAA-DIDs, WURS-briefs and psychiatrist's tests. adhd assessments has a high degree of accuracy when measuring ADHD symptoms in five areas of daily functioning: work and education; relationships; home and family social contact; free time and leisure. For a valid DIVA assessment, the individual being evaluated, their family and friends must be present. This helps to establish trust and create a therapeutic bond that will be important to the success of the assessment. A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can give an in-depth, professional report. assessed for adhd will detail the findings of the test and suggest a treatment plan based on the evidence. Please contact us to schedule an appointment if you suspect you or someone you know might be suffering from ADHD. Our doctor Kate Schilling has been trained in the use of DIVA ADHD assessments and can provide a thorough evaluation. She can then provide a referral to specialists to design an effective treatment strategy. Please be aware that an amalgamation of medication and psychotherapy is the best treatment.