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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is an interview that is semistructured designed to enhance ADHD assessment for adults. This study aims at evaluating the validity of the criterion used to determine DIVA 2.0 as well as its concomitant validity 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 from relationships and career progression to the everyday tasks that are part of our lives. It is essential that our ADHD assessment takes a comprehensive approach, looking at how the symptoms impact every aspect of our lives. During your evaluation, Dr. Schilling will begin by collecting information about your symptoms and health background. She will then conduct a DIVA 5 assessment. This is a semi-structured, structured interview that examines both the primary symptoms and the impact of ADD/ADHD on your life. The DIVA is a diagnostic interview tool created by psychologists and psychiatrists to determine adult ADHD symptoms. It has been demonstrated to be highly sensitive and specific. It is extremely effective in identifying those who have the disorder. It has the potential to raise awareness of, and the diagnosis of the condition of adult ADHD in Korea because it is the only validated semi-structured diagnostic test for adults suffering from ADHD available in the country. To perform the DIVA the trained clinician typically psychologist or psychiatrist will ask questions about the core symptoms of ADHD such as hyperactivity, inattention, and an impulsive nature. The clinician will also delve into the background of the individual and examine their childhood experiences and how they may influence their present behavior. This is because the signs of ADHD do not just appear suddenly, they develop throughout one's childhood, teen years, and through adulthood. The DIVA is able to effectively identify people 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 person's daily functioning in five different areas of life – education, work, family/partner relations social activities/leisure time and self-esteem and confidence in oneself. Other screening tools, such as the WURS brief that was compared with the CAADID showed poor sensitivity, and negative predictive value. Diagnosis To diagnose ADHD in adults, it is important to evaluate the signs and symptoms as well as their history. This can be done through an extensive interview regarding childhood symptoms and an assessment of neurocognitive capacity. It is crucial to think about the impact that these symptoms have on the individual's work and daily life. This can be determined conducting a structured interview the DIVA and, in some cases, getting information from family and friends. The DIVA is an interview with a semi-structured format that was initially designed for use with adults in the Netherlands. It has been refined for use in other countries, including Korea. This study looked at the criteria that is valid for the Korean version (DIVA-5) using a clinical sample consisting of adults suffering from ADHD. During the DIVA the doctor asks about the presence of ADHD symptoms during childhood and adulthood, the age at which the symptoms begin to manifest, and the extent of impairment resulting from those symptoms. The clinician also collects diverse set of sociodemographic data and asks about any psychiatric co-morbidity. MINI-S and Version 5.0.0 and the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), and the Frontal Assessment Battery were used to detect psychiatric co-morbidity. Two experienced psychiatrists employed the structured diagnostic interview DIVA-5 to establish a diagnosis of ADHD. They evaluated symptoms in adulthood as well as 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 has fair validity when compared with three self-report ratings instruments that 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 DIVA-5's diagnostic accuracy was found to be comparable to the accuracy of clinical diagnosis that were made by two psychiatrists. This was in accordance with the specificity and sensitivity of earlier screening tools such as the ASRS and the WURS. Treatment If you have an undiagnosed ADHD it could significantly impact your life. It can impact your relationships, academic progress as well as your work. It can also affect the way you organize your day-to-day life. A diagnosis can help you identify your strengths and weaknesses and also provide treatment options to alleviate your symptoms and provide coping mechanisms. A qualified clinician, typically psychologist or psychiatrist will conduct an in-depth interview with you about your current symptoms using the DIVA-5 assessment tool. This will include asking standard questions about your levels of inattention, hyperactivity and impulsivity. It will also examine your personal history, including your childhood experiences to create a complete picture of your symptoms. This approach is essential to a complete adult ADHD diagnosis. This helps us better understand your symptoms and inform your treatment. The DIVA assessment is an extremely effective way of diagnosing adult ADHD and has high sensitivity and specificity. It has also shown to be valid as a criterion when compared with self-report scales such as Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrency with these scales, and reasonable validity with Sheehan's Dysfunction Inventory. Contrary to the more conventional methods of assessing ADHD in adults, the DIVA evaluation focuses on identifying and discussing symptoms that occur both during childhood and adulthood, thereby increasing the accuracy of the diagnosis and enabling a more accurate comparison between sociodemographic traits of the two groups. The DIVA evaluation also provides an opportunity to look at the effects of co-occurring conditions on the manifestation of ADHD symptoms. If your Psychologist is unable to recommend treatment, it might be necessary to schedule an appointment with a pediatrician or Psychiatrist to further assess and/or therapy. You may be referred to psychologists who specialize in more thorough evaluation of your symptoms and to determine if there is any co-occurring diagnoses or differential diagnoses. This includes assessing for comorbid conditions like anxiety and depression. This will enable your Psychologist suggest a suitable treatment plan. Getting Started A diagnosis of ADHD can alter your life. It provides answers to persistent problems and opens the way to effective treatment options. A successful evaluation requires the expert knowledge of qualified healthcare professionals. The DIVA ADHD assessment, a well-structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by evaluating symptoms at various stages of life. conversational tone helps identify patterns of behavior, and distinguishes between ADHD symptoms and other conditions that can exhibit similar symptoms for adults, such as anxiety or depression. In the course of a DIVA ADHD evaluation, a clinician will use a structured interview in order to ask a series of questions about symptoms such as hyperactivity, inattention and impulsivity. The clinician evaluates the severity, frequency and duration of these symptoms to determine how they impact the individual's life and how they function in a variety of settings. This information can be used to create an accurate diagnosis. The DIVA assessment has been validated in comparison with other diagnostic tools. It has a high sensitivity when compared to CAA-DIDs, WURS-briefs, and psychiatrist's assessments. It has also excellent validity for it comes to assessing ADHD in five areas of daily function: work and education, relationships, home and family social interactions, free time and hobby. A valid DIVA assessment requires the participation of the person being evaluated and their close family members and friends. This helps to establish trust and strengthen the therapeutic bond which is important for the success of the assessment. A skilled psychologist or psychiatrist who has been certified in the use of the DIVA ADHD assessment will be able to provide a detailed report. This report will present the results of the assessment and recommend a treatment plan that is based on the evidence. Contact us to make an appointment if you suspect you or someone you love may be suffering from ADHD. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can provide an evaluation. She will refer you to a specialist who will develop an appropriate treatment plan. Be aware that the combination of psychotherapy and medication is the most effective treatment.