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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is an interview with a semistructured format that was developed to improve ADHD assessment for adults. This study is aimed at assessing the validity of the criteria used in DIVA 2.0 as well as 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 affect every aspect of our lives, from relationships to career advancement and the daily tasks we perform. It is essential that our ADHD assessment is a holistic approach, looking at how the symptoms affect all aspects of our lives. In your assessment, Dr. Schilling will start by gathering details about your symptoms as well as health background. She will then take the DIVA 5 assessment, a semi-structured interview designed to examine the primary symptoms of ADD/ADHD, and how those symptoms have impacted your life. The DIVA is an interview instrument designed by psychiatrists and psychotherapists to determine the signs of adult ADHD. It has been proven to have sound sensitivity and specificity. It is highly effective at identifying those who have the disorder. It can increase awareness and help diagnose adult ADHD in Korea as it is the only validated semistructured diagnostic interview available in the country. To conduct the DIVA the trained clinician usually psychologist or psychiatrist will ask questions about the main symptoms of ADHD which include inattention, hyperactivity and an impulsive nature. The clinician will also analyze the background of the person and their childhood experiences as well as their influence on their behavior. The symptoms of ADHD don't appear in a flash. They develop over a period of time from childhood to teenage years and into adulthood. The DIVA is able to effectively detect those suffering from ADHD because it takes into consideration both the DSM-IV criteria for ADHD in adulthood and childhood, and how those symptoms have affected an person's daily functioning in five areas of life – education and work, family/partnership relations social activities/leisure time and self-esteem and self-confidence. In comparison, other screening tools like the WURS-brief which was compared with the CAADID which showed poor accuracy and negative predictive values. Diagnosis To determine the presence of ADHD in adults, it is important that you evaluate the signs and symptoms along with their history. This can be done with an extensive interview regarding childhood symptoms as well as an assessment of the neurological. It is crucial to think about the impact that the symptoms have on the person's work and life. This can be determined conducting a structured interview, the DIVA and, in certain cases, getting information from family and friends. original site is a semistructured interview first developed for adults in the Netherlands. It has been revised to be used in other countries including Korea. This study looked at the validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adults with ADHD. During the DIVA the doctor will inquire about ADHD symptoms during childhood and adulthood. They will also ask the age of onset of symptoms and the degree of impairment triggered by these symptoms. The doctor will also collect different sociodemographic information and inquire about any psychiatric co-morbidity. 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). Two experienced psychiatrists used the structured diagnostic interview DIVA-5 in order to establish a clinical diagnosis of ADHD. They assessed symptoms throughout adulthood and childhood and determined the length 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 has good concurrent validity when compared with the WURS scale, and fair validity when compared to three self-report ratings instruments which 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 comparable to that of a clinical diagnoses made by two psychiatrists. This was in line with the specificity and sensitivity of previous screening tools like the ASRS and the WURS. Treatment Undiagnosed ADHD can have a major impact on your daily life. It can impact your relationships, academic performance and work. It can also impact the way you manage your day-to-day life. A diagnosis can help you identify your strengths and weaknesses, as well as offer treatments that can help you manage your symptoms and mechanisms. A qualified clinician, typically psychologist or psychiatrist, will conduct an in-depth interview with you regarding your current symptoms using the DIVA-5 assessment tool. This will involve standardised questions regarding your levels of hyperactivity, inattention and the tendency to be impulsive. It will also delve into your personal history, including childhood experiences, in order to obtain a complete picture of your symptoms and their impacts on your life. This method is crucial to a thorough adult ADHD diagnosis. This allows us to better comprehend your symptoms and guide 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 with self-report scales, such as the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concordance validity with these scales and fair validity with Sheehan’s Dysfunction Inventory. Contrary to the more conventional methods for assessing ADHD in adults, the DIVA test is focused on identifying and discussing symptoms that occur both during the teen years and into adulthood, increasing the accuracy of diagnosis and enabling an accurate comparison between the sociodemographic characteristics of both groups. The DIVA assessment also allows for consideration of the impact of co-existing disorders on the manifestation and severity of ADHD symptoms. If your Psychologist is unable to recommend treatment, it might be necessary to set up an appointment with a Paediatrician or Psychiatrist to further assess and/or therapy. They can then refer you to a specialist Psychologist for further thorough evaluation of your symptoms and to look for co-occurring diagnoses or differential diagnoses. This includes assessing co-occurring conditions, like depression or anxiety. This will help your Psychologist suggest a suitable treatment plan. Getting Started Being diagnosed with ADHD can be life-changing providing explanations for long-standing problems and opening the door to effective treatment options. A thorough evaluation requires the expertise of trained healthcare professionals. get redirected here is a structured and comprehensive tool that helps to improve the accuracy of adult ADHD diagnosis by evaluating symptoms across different life stages. It also detects patterns of behavior that remain and aids in distinguishing between ADHD symptoms and other conditions like depression or anxiety. In an DIVA ADHD evaluation, a doctor will conduct an organized interview to ask a series of questions about symptoms such as hyperactivity, inattention, and the tendency to be impulsive. The clinician assesses the severity, frequency and duration of symptoms to determine how they affect an individual in different settings. This information can be used to create an accurate diagnosis. The DIVA assessment has been verified against other diagnostic tools and shows high sensitivity in comparison to the WURS-brief, CAA-DID and a psychiatrist's assessment. It also has excellent reliability in conducting an assessment of ADHD in five areas of daily functioning such as education and work, relationships, home and family, social contacts, and free time and hobby. For a valid DIVA assessment, the person being evaluated as well as their family members and friends must be present. This helps build trust and a strong therapeutic bond, which will be essential to the success of your evaluation. A skilled psychiatrist or psychologist who is skilled in the use of the DIVA ADHD assessment can give a thorough report. The report will detail the findings of the test and suggest a treatment plan that is based on evidence. If you suspect that you or a loved one might have ADHD, please contact us for an appointment. Our doctor Kate Schilling has been trained in the use of DIVA ADHD assessments and can provide a thorough evaluation. She can refer you to a specialist who will formulate a treatment strategy. Be aware that the treatment plan recommended is a combination of medication and psychotherapy.