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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to improve ADHD assessment for 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 The symptoms of ADD/ADHD impact all aspects of life including relationships and career advancement to the everyday tasks that make up our lives. It is essential that our ADHD assessment takes a comprehensive view, examining how symptoms impact every aspect of life. Dr Schilling will begin by assessing your symptoms and medical history. She will then conduct the DIVA 5 assessment, a semi-structured interview designed to examine the primary symptoms of ADD/ADHD and how they have affected your life. The DIVA is an instrument for diagnostic interviews developed by psychiatrists and psychologists to evaluate adult ADHD symptoms. It has been demonstrated to be extremely sensitive and specific. It is also highly efficient in 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 perform the DIVA the trained clinician usually a psychiatrist or psychologist – will inquire about the primary symptoms of ADHD, including hyperactivity, inattention, and impulsivity. The doctor will also look at the background of the person as well as their childhood experiences and the impact on their current behaviours. This is because the signs of ADHD don't just emerge in a flash, they manifest throughout one's childhood, teen years, and into adulthood. The DIVA can efficiently detect those suffering from ADHD, as it takes into account both the DSM-IV criteria for ADHD in childhood and adulthood and how the symptoms have affected the individual's daily functioning in five different areas of life: education work, family/partner relationships, family, social activities/leisure time, and self-esteem and self-confidence. Other screening tools, like the WURS brief, which was compared with the CAADID showed poor sensitivity, and negative predictive value. Diagnosis In order to determine the presence of ADHD in adults, it is important to evaluate the signs and symptoms as well as their history. This can be done through conducting a thorough interview about childhood symptoms as well as an assessment of the neurocognitive. It is important to consider the impact that these symptoms can have on a person's work and daily life. This can be determined through a structured medical interview, called the DIVA, and in some instances, getting information from family members and friends. The DIVA is a semi-structured interview that was initially developed to be used with adults in the Netherlands. It has been redesigned for use with adult patients in other countries as well, including Korea. This study evaluated the validity of the criterion used to determine the Korean version of DIVA (DIVA-5) in an adult clinical sample with ADHD. During the DIVA, the clinician asks about the presence of ADHD symptoms during childhood and adulthood, as well as the time at which the symptoms onset, and the severity of impairment resulting from those symptoms. The doctor also collects a variety of sociodemographic information and asks about any psychiatric or comorbidity. Patients were screened for psychiatric comorbidity using the MINI-S plus version 5.0.0 and the Brief Alcohol Related Neuropsychological Impairment Screening Instrument (BEARNI), and the Frontal Assessment Battery (FAB). Two experienced psychiatrists used the structured diagnostic interview DIVA-5 to establish a diagnosis of ADHD. They assessed symptoms both in adulthood and childhood, and determined the duration of 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 was shown to have good compatibility with the WURS scale and fair concurrent validity with three self-report ratings 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 comparable to that of a clinical diagnosis made by two experienced psychiatrists. This was in line both with the sensitivity and specificity of earlier screening tools, like ASRS and WURS. Treatment If you have an undiagnosed ADHD it could significantly impact your life. This can be in many aspects, from relationships to academic progress and work to the simple tasks of organising daily living. A diagnosis can help you determine your strengths and weaknesses as well as provide treatment options that help you manage your symptoms and mechanisms. A licensed clinician (typically psychiatrists or psychologist) will have an organized conversation with you, using the DIVA-5 tool to assess your current symptoms. This will involve asking standardised questions about your levels of inattention, hyperactivity and an impulsiveness. how do i get an adhd assessment will also dig into your personal history, including childhood experiences to give you the full picture of your symptoms. This is essential to ensure a thorough diagnosis of adult ADHD. It also helps us understand the root causes of your symptoms, which can help inform your treatment. The DIVA assessment can be used to diagnose adult ADHD with high specificity and sensitivity. It has also been shown to be a good criterion-validated test when compared to self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrent validity with these and fair validity with Sheehan's Dysfunction Inventory. Unlike the more traditional methods for assessing ADHD in adults, the DIVA assessment focuses on identifying and discussing symptoms that occur both during childhood and adulthood, thereby increasing the accuracy of the diagnosis and enabling an accurate comparison between sociodemographic characteristics of the two groups. The DIVA evaluation also offers an opportunity to look at the effects of co-occurring disorders on appearance of ADHD symptoms. If your Psychologist is unable to prescribe medication, you may need to schedule an appointment with a psychiatrist or a Paediatrician to discuss further assessment and/or treatment. They can refer you to an expert Psychologist for more in-depth evaluation of your symptoms, and to assess for co-occurring diagnoses or differential diagnoses. This includes assessing for co-occurring disorders like depression and anxiety. This will help your Psychologist suggest a suitable treatment plan. Getting Started Being diagnosed with ADHD can be life-changing and provide explanations for lingering difficulties and opening doors to effective treatment options. However, a thorough evaluation requires the expertise of experienced healthcare experts. The DIVA ADHD assessment is a standardized and extensive tool that assists to improve the accuracy of adult ADHD diagnosis by evaluating symptoms across different life stages. It also detects patterns of behavior that are persistent and helps distinguish between ADHD symptoms and other conditions, such as depression or anxiety. In the course of a DIVA ADHD evaluation, a clinician will use an organized interview to ask a series questions about symptoms such as hyperactivity, inattention and the tendency to be impulsive. The clinician evaluates the severity, frequency and duration of these symptoms to determine how they impact the individual's life and functioning in various settings. This information can be used to make an accurate diagnosis. The DIVA assessment is validated in comparison with other diagnostic tools. It has a high sensitivity in comparison to WURS-briefs, CAA-DIDs and psychiatrist's tests. It also has excellent reliability in assessing ADHD in five areas of daily function that include education and work relationships home and family social connections, leisure time and hobbies. To be able to conduct a valid DIVA assessment, the person being assessed and their family and friends must be present. This will help build trust and strengthen the therapeutic bond, which will be essential to the success of your evaluation. A psychologist or psychiatrist with experience with the DIVA ADHD assessment can write an extensive, professional report. This report will outline the results of the assessment and suggest a treatment plan that is based on evidence. If you suspect that you or a loved one might have ADHD Contact us for an appointment. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and is able to provide an assessment. She can then provide an appointment with a specialist to create an effective treatment plan. Please be aware that a combination of psychotherapy and medication is the best treatment.