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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semi-structured, structured interview designed to enhance ADHD assessments in 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 ADD/ADHD symptoms impact all aspects of our lives from relationships to career advancement, and the everyday tasks we have to perform. This is why it's important that our ADHD assessments adopt a holistic approach, looking at how symptoms affect every aspect of our lives. Dr Schilling will begin by evaluating your symptoms and medical history. She will then conduct an DIVA 5 assessment. This is a semi-structured interview that examines both the primary symptoms and the impact of ADD/ADHD your life. The DIVA is an interview tool developed by psychotherapists and psychiatrists to evaluate the symptoms of adult ADHD. It has been shown to have high sensitivity and specificity. It is highly effective at identifying people suffering from the disorder. It is able to raise awareness and help diagnose adult ADHD in Korea because it is the only validated semistructured diagnostic interview available in the country. In order to conduct the DIVA the trained clinician usually psychologists or psychiatrists will ask questions about the main symptoms of ADHD, including hyperactivity, inattention, and an impulsive nature. The psychologist will also analyze the history of the individual as well as their childhood experiences and the impact on their current behaviours. This is because the signs of ADHD do not just appear suddenly, they develop throughout the 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 childhood and in adulthood, and how these symptoms have affected the person's daily functioning across five different areas – education, employment and family/partner relationships and leisure/social activities, as well as confidence and self-esteem. As a contrast other screening tools, such as the WURS-brief, which was compared to the CAADID which showed poor sensitiveness and negative predictive value. Diagnosis In order to diagnose ADHD in adults, it is important to assess the symptoms and their history. This can be accomplished through an extensive interview regarding childhood symptoms and an assessment of the neurocognitive. It is also important to assess the impact of the symptoms on the individual's life and work. This can be determined conducting a structured interview the DIVA and, in certain cases, asking for information from relatives and friends. The DIVA is an interview with a semi-structured format that was first developed for use with adults in the Netherlands. It has been revised to be used in other countries, including Korea. The study examined the criterion that is valid for the Korean version (DIVA-5) in the clinical sample of adults suffering from ADHD. During the DIVA the doctor will inquire about ADHD symptoms in the early years of life and into adulthood. They will also ask the age of onset of symptoms and the extent of impairment caused by these symptoms. The doctor will also collect a variety of sociodemographic information and inquire about any psychiatric co-morbidity. The MINI-S plus Version 5.0.0 and the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), and the Frontal Assessment Battery were used to determine if a psychiatric co-morbidity existed. Two psychiatrists who are experienced utilized the structured diagnostic interview DIVA-5 in order to determine a clinical 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 has good concurrent validity when compared to the WURS scale and has fair validity when compared with 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 diagnosis of the DIVA-5 was found to be similar to the accuracy of a clinical diagnosis established by two expert psychiatrists. This was in accordance with the sensitivity and specificity of earlier screening tools such ASRS and WURS. Treatment Undiagnosed ADHD can have a significant impact on your daily life. This can affect your relationships, academic performance and work. It can also affect the way you manage your daily life. A diagnosis can help you identify your strengths and weaknesses as well as provide treatments that can help you manage your symptoms and mechanisms. A trained clinician, usually psychologist or psychiatrist will conduct a structured interview with you regarding your current symptoms using the DIVA-5 assessment tool. This will involve standardised questions about your levels of hyperactivity, attention deficit and impulsivity. It will also look into your personal history, including childhood experiences, in order to obtain a complete picture of your symptoms and their impact on your life. This approach is essential to a thorough adult ADHD diagnosis. This will help us better know your symptoms and help you with your treatment. The DIVA assessment can be used to identify adult ADHD with high specificity and sensitivity. It has also been demonstrated to be reliable in determining the validity of criterion, when compared to self-report scales for rating such as the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concurrency with these scales and has good validity with Sheehan's Dysfunction Inventory. The DIVA assessment, in contrast to traditional methods for testing ADHD in adulthood, focuses on identifying symptoms that occur during childhood and into adulthood. This increases the accuracy of diagnosis and allows a more accurate comparison of sociodemographic traits between the two groups. The DIVA assessment also permits consideration of the effect of coexisting disorders on the manifestation and severity of ADHD symptoms. If your Psychologist cannot prescribe medication, you might require an appointment with a psychiatrist or Paediatrician for further assessment and/or treatment. They can refer you to an expert Psychologist for more thorough evaluation of your symptoms and to look for co-occurring diagnoses and differentials. This includes assessing comorbid conditions, like anxiety or depression. This will help your Psychologist recommend an appropriate 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 expertise of trained healthcare professionals. The DIVA ADHD assessment, a structured and comprehensive tool, can help improve adult ADHD diagnosis accuracy by analyzing symptoms at different life stages. It also detects patterns of behavior that persist and aids in distinguishing between ADHD symptoms and other disorders, such as anxiety or depression. In an DIVA ADHD assessment, a doctor conducts an interview to ask a series of questions about symptoms of inattention, hyperactivity and the tendency to be impulsive. The doctor evaluates the severity, frequency, and duration of symptoms to determine the extent to which they affect the person in various settings. This information can be used to make an accurate diagnosis. The DIVA assessment has been validated against other diagnostic tools and exhibits high sensitivity in comparison to the WURS-brief and CAA-DID as well as an assessment by a psychiatrist. It also has a high degree of validity in conducting an assessment of ADHD in five areas of daily functioning that include education and work relationships home and family social interactions, free time and hobbies. To be able to conduct a valid DIVA assessment, the individual being evaluated, their family and friends must be present. This helps build trust and strengthen the therapeutic connection, which is essential to the success of your evaluation. A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can give an extensive, professional report. The report will detail the findings of the test and recommend a treatment program that is based on the 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 will then make an appointment with a specialist to develop an effective treatment strategy. Please be aware that the recommended treatment method is a combination of medication and psychotherapy.