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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to improve ADHD assessment in adults. This study will evaluate the criterion validity of DIVA 2.0 and its concomitant 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. Symptoms The symptoms of ADD/ADHD impact every area of life, from relationships and career advancement to the everyday activities that comprise our lives. It is important that our ADHD assessment takes a holistic perspective, looking at how symptoms impact all aspects of life. During your assessment, Dr Schilling will begin by obtaining information about your symptoms and health history. She will then take the DIVA 5 assessment, a semi-structured interview designed to evaluate the main symptoms of ADD/ADHD, and the impact these symptoms have had on your life. The DIVA is a diagnostic interview tool created by psychologists and psychiatrists to evaluate adult ADHD symptoms. It has been shown to have a high sensitivity to sound and specificity. It is extremely effective in identifying those who have the disorder. It can help raise awareness and help diagnose adult ADHD in Korea since it is the only validated semistructured diagnosis interview available in the country. A qualified clinician, typically psychiatrists, will ask questions to determine the core symptoms of ADHD. These include hyperactivity, inattention, and impulsivity. The doctor will also examine the background of the person, including their childhood experiences and their influence on their behavior. The symptoms of ADHD do not appear suddenly. They develop over a period of time, from childhood to teen years and into adulthood. The DIVA can be used to detect ADHD because it takes into account both the DSM-IV ADHD criteria in the early years and later in adulthood and how these symptoms affect the individual's daily functioning in five distinct areas – employment, education relations with family/partners social activities/leisure, as well as confidence and self-esteem. Other screening tools, like the WURS brief that was compared with the CAADID showed poor sensitivity, and negative predictive value. Diagnosis In order to diagnose ADHD in adults, it is essential to evaluate the symptoms and their history. This can be done through a comprehensive interview on childhood symptoms and a neurological examination. click here for info is also essential to look at the effects of the symptoms the person's life and work. This can be determined using a structured interview, the DIVA and, in certain cases, asking for information from relatives and friends. The DIVA interview is a semistructured interview first developed for adults in the Netherlands. It has been re-edited to be used in other countries, including Korea. This study examined the validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adult patients with ADHD. During the DIVA The clinician will inquire about the presence of ADHD symptoms in childhood and into adulthood, the age at which the symptoms begin to manifest, and the severity of impairment caused by those symptoms. The doctor also collects a variety of sociodemographic information and asks about any mental health or comorbidity. Patients were examined for psychiatric comorbidity 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 made by two experienced psychiatrists who used the DIVA-5, a structured diagnostic interview, to evaluate 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 has 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 the DIVA-5's diagnosis was found to be similar to that of a clinical diagnoses given by two psychiatrists. This was in line with the sensitivity and specificity of earlier screening tools, such ASRS and WURS. Treatment If you are not diagnosed with ADHD, it can significantly impact your life. This can be in many aspects, from relationships to academic progress and work to the basic tasks of organising daily living. A diagnosis can help you recognize your strengths and weaknesses as well as offer treatment options that help you manage your symptoms and mechanisms. A trained clinician, usually a psychiatrist or psychologist, will conduct a structured discussion with you about your symptoms currently using the DIVA-5 assessment tool. It will include standardised questions regarding your levels of hyperactivity, attention deficit and an impulsiveness. It will also look into your personal history including childhood experiences to get an accurate picture of your symptoms. This method is essential to ensure a thorough diagnosis of adult ADHD. This helps us better know your symptoms and help you with your treatment. The DIVA assessment can be used to determine adult ADHD with high sensitivity and specificity. It has also been proven to have good criterion valid when compared to self-report scales, such as the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has a good concordance with these scales, and has reasonable validity with Sheehan's Dysfunction Inventory. Unlike the more traditional methods used to assess ADHD in adults, the DIVA evaluation is focused on identifying and discussing symptoms that can be observed in childhood and adulthood, thereby increasing the accuracy of the diagnosis and allowing for a more accurate comparison between sociodemographic traits of the two groups. The DIVA evaluation also provides an opportunity to think about the impact of co-occurring disorders on presentation of ADHD symptoms. If your Psychologist cannot prescribe medication, you may need to make an appointment with a psychiatrist or Paediatrician for further assessment and/or treatment. They will then refer you to a specialist Psychologist to conduct an in-depth evaluation of your symptoms, and to assess for co-occurring diagnoses or differential diagnoses. This includes assessing co-occurring disorders, such as depression or anxiety. This will help your Psychologist determine the best treatment plan. Getting Started Being diagnosed with ADHD can be life-changing and provide explanations for lingering issues and opening doors to effective treatment options. A successful evaluation requires the expert knowledge of qualified healthcare professionals. The DIVA ADHD assessment, a structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by evaluating symptoms at various stages of life. It also detects patterns of behavior that persist of behavior, and distinguishes between ADHD symptoms and other conditions that can exhibit similar symptoms for adults, such as anxiety or depression. In the DIVA ADHD assessment, a doctor conducts an interview to ask a series of questions about symptoms of hyperactivity, inattention and impulsivity. The clinician assesses the intensity, frequency and duration of symptoms to determine how they affect the person in various situations. This information can be used to create an accurate diagnosis. The DIVA test is confirmed in comparison to other diagnostic tools. It has high sensitivity compared to CAA-DIDs, WURS-briefs and psychiatrist's assessments. It also has a high degree of validity for assessing ADHD in five areas of daily function such as education and work, relationships, home and family, social contacts, and leisure time and hobbies. For an accurate DIVA assessment, the person being evaluated as well as their family and friends need to be present. This helps to establish trust and create a therapeutic bond that will be essential for the success of the evaluation. A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can give an in-depth professional report. The report will detail the findings of the test and suggest a treatment plan based on the evidence. If you suspect that you or someone you love might have ADHD Contact us to make an appointment. Our doctor Kate Schilling has been trained to use the DIVA ADHD assessments and is able to provide a thorough evaluation. She can refer you to a specialist who will formulate a treatment plan. Please be aware that an amalgamation of psychotherapy and medication is the recommended treatment.