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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 to 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. Signs and symptoms The symptoms of ADD/ADHD affect every aspect of our lives, from relationships to career advancement and the daily tasks we perform. It is important that our ADHD assessment takes a comprehensive view, examining how symptoms affect all aspects of our lives. Dr Schilling will begin by evaluating your symptoms and medical history. She will then conduct the DIVA 5 assessment, a semi-structured interview designed to examine both the core symptoms of ADD/ADHD, and how they have affected your life. The DIVA is an instrument for diagnostic interviews created by psychologists and psychiatrists to assess adult ADHD symptoms. It has been demonstrated to have high sensitivity and a high degree of specificity. It is also highly effective in identifying individuals suffering from the disorder. It is able to raise awareness and diagnose adult ADHD in Korea because it is the only validated semistructured diagnostic interview available in the country. A trained clinician, usually a psychiatrist, will inquire about the primary symptoms of ADHD. These include hyperactivity, inattention, and an impulsive nature. The psychologist will also look into the background of the individual by looking at their early experiences and how those may have affected their current behaviours. 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 even into adulthood. The DIVA can efficiently identify people suffering from ADHD by taking into consideration both the DSM-IV criteria for ADHD in adulthood and childhood and how these symptoms have affected an person's daily functioning in five distinct areas of life – education and work, family/partnership relations and leisure time/social activities, and self-esteem and self-confidence. Other screening tools, for instance the WURS brief that was compared with the CAADID showed poor sensitivity, and negative predictive value. Diagnosis To diagnose ADHD in adults, it is essential to assess the symptoms and their causes. This can be accomplished through an extensive interview about childhood symptoms as well as an assessment of the neurological. It is crucial to think about the impact these symptoms have on the person's work and daily life. This can be determined through a structured medical interview, called the DIVA and, in certain cases, obtaining information from family members and friends. The DIVA interview is a semistructured interview originally developed for adults in the Netherlands. This Webpage has been revised to be used by adults in other countries including Korea. The study examined the criterion applicable to the Korean version (DIVA-5) using an actual clinical sample of patients with ADHD. During the DIVA the clinician will ask about ADHD symptoms in the early years of life and into adulthood. They will also inquire about the age of onset of symptoms and the extent of impairment triggered by these symptoms. The clinician will also collect a variety of sociodemographic information and inquire about any psychiatric-related co-morbidity. Patients were assessed for psychiatric co-morbidity using the MINI-S plus version 5.0.0, the Brief Alcohol Related Neuropsychological Impairment Screening Instrument (BEARNI), and the Frontal Assessment Battery (FAB). A diagnosis of clinical ADHD was established by two psychiatrists with experience who used the DIVA-5, a structured diagnostic interview, to determine the severity of symptoms in 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 with 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 DIVA-5's diagnostic accuracy was found to be comparable to the accuracy of clinical diagnosis made by two psychiatrists. This was in line both with the sensitivity as well as specificity of earlier screening tools, like ASRS and WURS. Treatment If you have an undiagnosed ADHD it can greatly affect your life. It can affect many aspects, from relationships to work and academic progress to the basic tasks of organising your day-to-day life. A diagnosis can help you determine your strengths and weaknesses and provide treatment options to alleviate your symptoms and coping mechanism. A licensed clinician, usually a psychiatrist or psychologist, will conduct a structured interview with you regarding your current symptoms using the DIVA-5 assessment tool. This will involve regular questions about your levels of hyperactivity, attention deficit and the tendency to be impulsive. It will also examine your personal history, including childhood experiences to give you the full picture of your symptoms. This method is essential to a complete adult ADHD diagnosis. This helps us better know your symptoms and help you with your treatment. The DIVA assessment is a highly efficient method of diagnosing adults with ADHD, with excellent sensitivity and specificity. It has also been shown to be a good criterion-validated test when compared with self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrent validity these scales and has reasonable validity with Sheehan's Dysfunction Inventory. Contrary to the more conventional methods for assessing ADHD in adults, the DIVA assessment is focused on identifying and discussing the symptoms that can be observed in childhood and adulthood, thereby increasing the accuracy of the diagnosis and allowing for a more accurate comparison between the sociodemographic characteristics of both groups. The DIVA assessment also allows for consideration of the effects of coexisting disorders on presentation and severity of ADHD symptoms. If your Psychologist is not able to recommend treatment, it might be necessary to set up an appointment with a Paediatrician or Psychiatrist to further assess and/or therapy. You may be referred to psychologists who specialize in more in-depth assessment of your symptoms and to determine if there are co-occurring diagnoses or differential diagnoses. This includes assessing co-occurring disorders, such as depression or anxiety. This will enable your Psychologist to suggest an appropriate treatment plan. Getting Started A diagnosis of ADHD can transform your life. It provides answers to persistent issues and opens the door to effective treatment options. However, a reliable assessment requires the expertise of experienced medical experts. The DIVA ADHD assessment, which is a structured and comprehensive tool, helps to improve the adult ADHD diagnosis accuracy by analyzing symptoms at different life stages. It also helps identify patterns of behavior that are persistent and helps distinguish between ADHD symptoms and other disorders like depression or anxiety. In the DIVA ADHD assessment, a clinician conducts a structured interview to ask a series of questions about symptoms of inattention, hyperactivity and impulsivity. The doctor evaluates the severity, frequency and duration of these symptoms to understand how they impact an individual's life and how they function in several settings. This information can be used to create an accurate diagnosis. The DIVA assessment has been verified against other diagnostic tools and exhibits high sensitivity when compared with the WURS-brief, CAA-DID and the assessment of a psychiatrist. It also has excellent reliability for conducting an assessment of ADHD in five areas of daily function such as education and work, relationships home and family social connections, free time and hobby. To be able to conduct an authentic DIVA assessment, the individual being evaluated, their family and friends must be present. This helps build trust and create a strong therapeutic bond, which will be crucial to the success of your evaluation. An experienced psychologist or psychiatrist who has been skilled in the use of the DIVA ADHD assessment will be able to give a thorough report. The report will detail 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 may be suffering from ADHD, please contact us to make an appointment. Our doctor Kate Schilling has been trained in the use of DIVA ADHD assessments and is able to give a thorough assessment. She will then make a referral to specialists to design an effective treatment strategy. Be aware that the combination of psychotherapy and medication is the best treatment.