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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to enhance ADHD assessment in adults. This study is aimed at assessing the validity of the criteria used in DIVA 2.0 and 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 impact all aspects of our lives from relationships to advancement in our careers and the everyday tasks we have to perform. This is why it's crucial that our ADHD assessments adopt a holistic approach by examining how symptoms affect every aspect of life. Dr. Schilling will begin by assessing your symptoms and medical history. She will then take the DIVA 5 assessment, a semi-structured interview designed to examine the main symptoms of ADD/ADHD as well as how they have affected your life. The DIVA is an interviewing tool developed by psychiatrists and psychotherapists to determine the signs of adult ADHD. It has been demonstrated to have a high sensitivity to sound and a high degree of specificity. It is highly effective at identifying people suffering from the disorder. It can help raise awareness and help diagnose adult ADHD in Korea since it is the only validated semistructured diagnostic test available in the country. To conduct the DIVA, a trained clinician – often a psychiatrist or psychologist – will ask questions about the main symptoms of ADHD, including inattention, hyperactivity, and impulsivity. The psychologist will also look into the individual's history, looking at their childhood experiences and how they may influence their present behavior. The symptoms of ADHD don't appear in a flash. They develop over a time from childhood through teen years and then into adulthood. The DIVA can detect ADHD because it considers both the DSM-IV ADHD criteria in the early years and later in adulthood and how these signs have affected the person's daily functioning across five different areas – employment, education relations with family/partners social activities/leisure, as well as confidence and self-esteem. Other screening tools, such as the WURS brief that was compared with the CAADID demonstrated low sensitivity and negative predictive value. Diagnosis To diagnose ADHD in adults, it is crucial to determine the severity of the symptoms and their history. adhd assessment can be done by an extensive interview regarding childhood symptoms and an assessment of the neurocognitive. It is important to consider the impact that the symptoms have on the person's job and daily life. This can be determined using a structured clinical interview, the DIVA and, in certain instances, asking for information from family members and friends. The DIVA is an interview that is semi-structured and was initially developed to be used with adults in the Netherlands. It has been refined for use in other countries, including Korea. This study looked at the criterion validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adults with ADHD. During the DIVA the clinician will ask about ADHD symptoms in the early years and in adulthood. They will also inquire about the age at which symptoms first started to manifest symptoms and the extent of impairment triggered by these symptoms. The doctor will also collect a variety of sociodemographic information and ask about any psychiatric-related co-morbidity. The MINI-S as well as Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), as well as the Frontal Assessment Battery were used to determine if a psychiatric co-morbidity existed. A diagnosis of clinical ADHD was made by two psychiatrists with years of experience who utilized the DIVA-5, a structured diagnostic interview, to assess symptoms in both childhood and adulthood, and to 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 to the WURS scale, and fair validity when compared to 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 DIVA-5's diagnostic accuracy was found to be similar to that of a clinical diagnosis given by two psychiatrists. This was in accordance with the sensitivity and specificity of earlier screening tools, such ASRS and WURS. Treatment If you're not aware of ADHD, it can significantly affect your life. It can impact your relationships, academic progress, and work. It can also impact how you organize your day-to-day life. A diagnosis can help you identify your strengths and weaknesses and also offer treatment options to improve your symptoms and coping mechanism. A qualified professional (typically psychiatrists or psychologist) will have a structured discussion with you, using the DIVA-5 instrument to assess your current symptoms. This will include asking standard questions about your levels of hyperactivity, inattention, and an impulsiveness. It will also dig into your personal history including your childhood experiences to create the full picture of your symptoms. This approach is crucial to ensure a thorough diagnosis of adult ADHD. This helps us better understand your symptoms and inform your treatment. The DIVA assessment can be used to diagnose adult ADHD with high specificity and sensitivity. It has also been proven to have good criterion valid when compared with self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrency with these scales and has reasonable validity with Sheehan's Dysfunction Inventory. Contrary to the more conventional methods of assessing ADHD in adults, the DIVA assessment focuses on identifying and discussing the symptoms that can be observed in childhood and in adulthood, thus increasing the accuracy of diagnosis and enabling an accurate comparison between the sociodemographic characteristics of both groups. The DIVA evaluation also offers an opportunity to consider the impact of co-occurring disorders on the presentation of ADHD symptoms. If your Psychologist does not prescribe medication, you might need to make an appointment with a Psychiatrist or a paediatrician for a more thorough evaluation and/or treatment. You can be referred a specialist psychologist for a more thorough evaluation of your symptoms and to determine if there are co-occurring diagnoses or differential diagnoses. This includes assessing for comorbid disorders like depression and anxiety. This will allow your Psychologist to recommend an appropriate treatment plan. Getting Started Being diagnosed with ADHD can have a profound impact on your life and provide explanations for lingering problems and opening the door to effective treatment options. However, a reliable assessment requires the expertise of experienced healthcare experts. The DIVA ADHD assessment, a well-structured and extensive tool, helps improve adult ADHD diagnosis accuracy by analyzing symptoms at different life stages. It also helps identify patterns of behavior that are persistent and assists in determining the difference between ADHD symptoms and other conditions, such as anxiety or depression. In a DIVA ADHD assessment, a clinician uses a structured interview to ask an array of questions about symptoms of hyperactivity, inattention and the tendency to be impulsive. The clinician assesses the severity, frequency, and duration of symptoms to determine how they affect an person in various settings. This information can be used to determine an accurate diagnosis. The DIVA assessment has been confirmed in comparison to other diagnostic tools. It shows high sensitivity compared to CAA-DIDs, WURS-briefs, and psychiatrist's assessments. It also has high reliability when it comes to it comes to assessing ADHD symptoms in five areas of daily functioning: work and education; relationships; home and family; social contacts; and leisure time and hobbies. To be able to conduct an authentic DIVA assessment, the person being evaluated, their family and friends must be present. This will help build trust and create a strong therapeutic bond, which is essential to the success of your evaluation. A psychologist or psychiatrist who has experience with the DIVA ADHD assessment can write an extensive professional report. This report will present the results of the assessment and suggest a treatment plan that is based on evidence. Please contact us to schedule an appointment if you or someone you know might be suffering from ADHD. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can perform an evaluation. She can then make an appointment with a specialist to create an effective treatment strategy. Please be aware that the combination of psychotherapy and medication is the best treatment.