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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to enhance ADHD assessment for adults. This study is aimed at assessing the validity of the criterion used to determine 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 Symptoms of ADD/ADHD affect every aspect of our lives including relationships and career advancement to the everyday tasks that make up our lives. That's why it is so important that our ADHD assessments are holistic by examining how symptoms affect every aspect of life. During your evaluation, Dr. Schilling will begin by collecting details about your symptoms as well as health background. She will then conduct a DIVA 5 assessment. This is a semi-structured, interview that evaluates both the core symptoms and the impact of ADD/ADHD 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 highly effective at identifying people suffering from the disorder. It is able to increase awareness of, and the diagnosis of, adult ADHD in Korea, as it is the only validated semi-structured, semi-structured diagnostic interview for adults suffering from ADHD available in the country. To conduct the DIVA, a trained clinician usually psychologists or psychiatrists will ask questions about the core symptoms of ADHD which include inattention, hyperactivity and impulsivity. The clinician will also look at the history of the individual, including their childhood experiences and the impact on their present behavior. The symptoms of ADHD do not appear suddenly. They develop over a time, from childhood to teen years and into adulthood. The DIVA can efficiently detect those suffering from ADHD, as it takes into consideration both the DSM-IV criteria for ADHD during childhood and into adulthood and how these symptoms have affected an individual's daily functioning in five areas of life: education work, family/partner relationships, family, social activities/leisure time, and self-esteem and confidence in oneself. In comparison, other screening tools such as the WURS-brief which was compared with the CAADID, showed poor sensitiveness and negative predictive value. Diagnosis In order to determine the presence of ADHD in adults, it is crucial to evaluate the signs and symptoms as well as their history. This can be done with a comprehensive interview on childhood symptoms as well as a neurological examination. It is also essential to consider the effects of the symptoms the individual's life and work. This can be determined using a structured interview, the DIVA and, in certain cases, asking for information from relatives and friends. The DIVA interview is a semistructured interview originally designed for adults in the Netherlands. It has been re-edited to be used in other countries including Korea. This study looked at the criterion validity of the Korean version of DIVA (DIVA-5) in an adult clinical sample with ADHD. During the DIVA the doctor asks about the presence of ADHD symptoms in childhood and into adulthood, the age at which the symptoms begin to manifest, and the extent of impairment resulting from those symptoms. The doctor also collects a wide range of sociodemographic data and inquires about any mental health co-morbidity. The MINI-S plus Version 5.0.0 The MINI-S plus Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI), along with the Frontal Assessment Battery were used to screen for psychiatric co-morbidity. A diagnosis of clinical ADHD was determined by two experienced psychiatrists who utilized the DIVA-5 structured diagnostic interview to evaluate symptoms in both adulthood and childhood and 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. The diagnostic tool was demonstrated to have good concordance with the WURS scale and fair concurrent validity with three self-report rating instruments: 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 accuracy of the DIVA-5's diagnosis was found to be comparable to the accuracy of a clinical diagnosis made by two psychiatrists. This was in line with the sensitivity and specificity of previous screening tools such as the ASRS and the WURS. Treatment Undiagnosed ADHD can have a major impact on your daily life. This can affect your relationships, academic progress as well as your work. It can also affect the way you organize your day-to-day activities. A diagnosis can help you recognize your strengths and weaknesses as well as offer solutions to improve your symptoms and coping mechanisms. adhd assessment uk licensed clinician, usually psychologist or psychiatrist, will conduct an in-depth interview with you about your current symptoms using the DIVA-5 assessment tool. This will consist of standardised questions regarding your levels of hyperactivity, attention deficit and an impulsiveness. It will also look into your personal history and your childhood experiences to create a complete picture of the symptoms you are experiencing. This is essential to ensure a thorough diagnosis of adult ADHD. This allows us to better understand your symptoms and inform your treatment. The DIVA assessment can be used to diagnose adult ADHD with high 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 concordance validity with these scales and reasonable validity with Sheehan's Dysfunction Inventory. The DIVA evaluation, unlike more traditional methods of testing ADHD in adulthood, focuses on identifying the symptoms that occur during the teen years and in adulthood. This increases the accuracy of the diagnoses and allows for a more accurate comparison of sociodemographic characteristics between the two groups. The DIVA evaluation also gives an opportunity to consider the impact of co-occurring disorders on the appearance of ADHD symptoms. If your Psychologist is not able to prescribe treatment, it might be necessary to schedule an appointment with a pediatrician or Psychiatrist for further assessment and/or therapy. You may be referred to psychologists who specialize in more in-depth assessment of your symptoms and to determine if there is any co-occurring diagnoses or differential diagnoses. This includes assessing for co-occurring conditions such as depression and anxiety. This will help your Psychologist recommend an appropriate treatment plan. Getting Started A diagnosis of ADHD can change your life. It can provide answers to long-standing problems and opens the door to effective treatment options. A successful evaluation requires the expertise of qualified healthcare providers. The DIVA ADHD assessment, a well-structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by analyzing symptoms at various stages of life. It also helps identify patterns of behavior that are persistent and assists in determining the difference between ADHD symptoms and other disorders like anxiety or depression. In an DIVA ADHD evaluation, a doctor will conduct a structured interview in order to ask a series questions about symptoms such as hyperactivity, inattention and an impulsiveness. The clinician assesses the frequency, severity and duration of these symptoms to understand how they impact on the individual's life and functioning in various settings. This information can be used to determine an accurate diagnosis. The DIVA assessment has been verified against other diagnostic tools and has shown high sensitivity when compared with the WURS-brief and CAA-DID as well as a psychiatrist's assessment. It has also excellent validity in it comes to assessing ADHD in five areas of daily function such as education and work, relationships, home and family, social contacts, and leisure time and hobbies. For an authentic DIVA assessment, the person being evaluated, 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 assessment. A skilled psychologist or psychiatrist who has been trained in the use of the DIVA ADHD assessment will be able to give a thorough report. The report will detail the findings of the assessment and recommend a treatment plan that is based on the data. Please contact us to schedule an appointment if you suspect you or someone you know might have ADHD. Our doctor Kate Schilling has been trained to use the DIVA ADHD assessments and is able to give a thorough assessment. She can refer you to a specialist who will formulate a treatment plan. Be aware that the treatment plan recommended is a combination of medications and psychotherapy.