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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to enhance ADHD assessment for adults. This study aims at evaluating the validity of the criteria used in DIVA 2.0 as well as 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 Symptoms of ADD/ADHD affect every area of life including relationships and career advancement to the day-to-day tasks that make up our lives. This is why it's important that our ADHD assessments adopt a holistic approach, looking at how symptoms impact all areas of our lives. During your assessment, Dr Schilling will begin by collecting details of your symptoms and health background. She will then conduct the DIVA 5 assessment, a semi-structured interview that is designed to assess the main symptoms of ADD/ADHD and how they have affected your life. The DIVA is an interviewing tool designed by psychotherapists and psychiatrists to assess symptoms of adult ADHD. It has been shown to have sound sensitivity and specificity. It is also extremely effective in identifying those with the disorder. It is able to increase awareness and diagnosis of the condition of adult ADHD in Korea, as it is the only validated semi-structured diagnostic interview for adults suffering from ADHD available in the country. To perform the DIVA A trained professional – often psychologists or psychiatrists will ask questions about the core symptoms of ADHD which include inattention, hyperactivity and an impulsive nature. The clinician will also examine the history of the individual and their childhood experiences and their impact on their present behavior. This is because the symptoms of ADHD aren't something that just happens to appear in a flash, they manifest throughout the teen years, and into adulthood. The DIVA can identify ADHD because it considers both the DSM-IV ADHD criteria during childhood and into adulthood, and how these symptoms have affected the person's daily functioning across five areas: education, employment, family/partner relationships and leisure/social activities, as well as confidence in oneself. Other screening tools, for instance the WURS brief that was compared to the CAADID revealed low sensitivity and negative predictive value. Diagnosis In order to diagnose ADHD in adults, it is crucial to assess the signs and symptoms as well as their history. This can be accomplished through an extensive interview about childhood symptoms and a neurological examination. It is also important to consider the effects of the symptoms the person's life and work. This can be assessed by conducting a structured interview, also known as the DIVA and, in some cases, obtaining information from friends and family members. The DIVA interview is a semistructured interview originally designed for 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 adult patients with ADHD. During the DIVA the doctor will inquire about ADHD symptoms during childhood and adulthood. They will also ask the age at which they first noticed symptoms and the extent of impairment caused by these symptoms. The doctor will also collect a variety of sociodemographic information and ask about any psychiatric co-morbidities. 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 psychiatrists with years of experience who utilized the DIVA-5, a structured diagnostic interview, to assess symptoms in both the early years and in 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. This diagnostic tool has good concurrent validity when compared to the WURS scale and has 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 diagnosing ADHD with the DIVA-5 was found to be similar to the accuracy of a diagnosis established by two expert psychiatrists. This was in accordance with the sensitivity and specificity of previous screening tools such as the ASRS and the WURS. Treatment If you have an undiagnosed ADHD, it can significantly affect your life. It can impact your relationships, academic performance as well as your work. It can also affect the way you organize your day-to-day activities. A diagnosis can help identify your strengths and weaknesses as well as provide treatment options to alleviate your symptoms and provide coping mechanisms. A qualified clinician, typically psychologist or psychiatrist will conduct a structured interview with you about your symptoms currently using the DIVA-5 assessment tool. original site will consist of regular questions about your levels of hyperactivity, inattention, and impulsivity. It will also look into your personal history, including your childhood experiences, to gain a complete understanding of your symptoms and their impacts on your life. This approach is essential for a thorough adult ADHD diagnosis. This allows us to better understand your symptoms and inform your treatment. The DIVA assessment can be used to identify adult ADHD with high sensitivity and specificity. It has also been shown to have good criterion valid when compared to self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrent validity these scales, and fair validity with Sheehan's Dysfunction Inventory. Contrary to the more conventional methods of assessing ADHD in adults, the DIVA test focuses on identifying and discussing the symptoms that occur both during the teen years and into adulthood, increasing the accuracy of the diagnosis and allowing for an accurate comparison between the sociodemographic characteristics of both groups. The DIVA evaluation also provides an opportunity to look at the effect of co-occurring disorders on presentation of ADHD symptoms. If your Psychologist does not prescribe medication, you might need to make an appointment with a psychiatrist or Paediatrician for further evaluation and/or treatment. They will then refer you to a specialist Psychologist to conduct an in-depth evaluation of your symptoms, and to look for co-occurring diagnoses or differential diagnoses. This includes assessing any comorbid conditions, such as anxiety or depression. This will enable your Psychologist determine the best treatment plan. Getting Started A diagnosis of ADHD can alter your life. It offers solutions to persistent problems and opens the way to effective treatment options. A good evaluation does require the expertise of qualified healthcare providers. The DIVA ADHD assessment, a well-structured and comprehensive tool, helps to improve adult ADHD diagnosis accuracy by evaluating symptoms across different stages of life. It also helps identify patterns of behavior and differentiates between ADHD symptoms and those of other disorders which may have similar symptoms in adults, like anxiety or depression. In an DIVA ADHD assessment, a clinician conducts a structured interview to ask a series of questions about symptoms of hyperactivity, inattention and the tendency to be impulsive. The clinician assesses the intensity, frequency and duration of symptoms to determine the extent to which they affect the person in various settings. This information is then used to develop an accurate diagnosis. The DIVA assessment has been validated against other diagnostic tools and has shown high sensitivity when compared with the WURS-brief, CAA-DID and the assessment of a psychiatrist. It also has a high degree of validity when assessing ADHD symptoms in five areas of daily functioning: education and work as well as relationships, family and home social interactions; free time and leisure. For an authentic DIVA assessment, the person being evaluated, their family and friends need to be present. This will help establish trust and a strong therapeutic bond, which will be crucial to the success of your evaluation. A psychologist or psychiatrist with experience in the DIVA ADHD assessment can write an in-depth professional report. This report will outline the findings of the test and recommend a treatment plan that is based on the data. Please contact us to set up an appointment if you suspect you or someone you love may have ADHD. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can provide an assessment. She will then make a referral to a specialist to develop an effective treatment plan. Be aware that the treatment plan recommended is a combination of medications and psychotherapy.