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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semistructured interview developed to enhance ADHD assessment in adults. This study is aimed at assessing the validity of the criterion used to determine DIVA 2.0 and 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 ADD/ADHD symptoms affect all aspects of our lives from relationships to career advancement and the daily tasks we perform. It is essential that our ADHD assessment takes a comprehensive perspective, looking at how symptoms impact all aspects 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 evaluates both the core symptoms and the impact of ADD/ADHD your life. The DIVA is an interview tool developed by psychiatrists and psychotherapists to determine the signs of adult ADHD. It has been shown to have a high sensitivity to sound and specificity. It is also extremely effective in identifying individuals suffering from the disorder. It can increase awareness and diagnose adult ADHD in Korea since it is the only validated semistructured diagnostic interview available in the country. A trained and experienced clinician, typically psychiatrists, will inquire about the core symptoms of ADHD. These include hyperactivity, inattention, and an impulsive nature. The doctor will also analyze the background of the person, including their childhood experiences as well as their influence on their behavior. This is because the signs of ADHD aren't something that just happens to appear at a moment's notice, they are developed through the teenage years, and even into adulthood. The DIVA can identify ADHD because it considers both the DSM-IV ADHD criteria in the early years and later in adulthood and how these signs have affected the person's daily functioning across five different areas – employment, education relations with family/partners social activities/leisure, as well as confidence in oneself. Contrary to this other screening tools, such as the WURS-brief which was compared to CAADID and showed low accuracy and negative predictive values. Diagnosis In order to determine the presence of ADHD in adults, it is essential to assess the signs and symptoms as well as their history. This can be done by a comprehensive interview about childhood symptoms and an assessment of neurocognitive capacity. It is also crucial to consider the effects of the symptoms the individual's life and work. This can be determined conducting a structured interview the DIVA and, in some cases, getting information from family and friends. The DIVA is a semi-structured interview that was initially developed to be used with adults in the Netherlands. It has been refined to be used in other countries, including Korea. This study looked at the criterion validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adults with ADHD. During the DIVA, the clinician asks about the presence of ADHD symptoms in childhood and adulthood, the age at which the symptoms onset, and the severity of impairment caused by those symptoms. The clinician will also gather a variety of sociodemographic information and inquire about any psychiatric-related co-morbidity. 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). A diagnosis of clinical ADHD was established by two experienced psychiatrists who used the DIVA-5, a structured diagnostic interview, to determine the severity of symptoms in childhood and adulthood, and to determine the duration of those 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 concurrent validity with the WURS scale as well as 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 accuracy of diagnosis of the DIVA-5 was found to be similar to the accuracy of a clinical diagnosis formulated by two renowned psychiatrists. This was in agreement with the specificity and sensitivity of previous screening tools, such as the ASRS and the WURS. Treatment Undiagnosed ADHD can have a significant impact on your daily life. This can be in many aspects, from relationships to academic progress and work to the simple tasks of managing your daily life. A diagnosis can help you recognize your strengths and weaknesses, as well as provide treatment options that improve your symptoms and coping mechanisms. A qualified clinician (typically psychiatrists or psychologist) will have a structured conversation with you, using the DIVA-5 instrument to assess your current symptoms. It will ask you standard questions about your levels hyperactivity, inattention and impulsivity. It will also dig into your personal history, including your childhood experiences to create an accurate picture of your symptoms. This approach is crucial for ensuring a thorough diagnosis of adult ADHD. It also helps us determine the root of your symptoms, which helps guide your treatment. The DIVA assessment is an extremely effective way of diagnosing adult ADHD with excellent sensitivity and specificity. It has also shown to be valid as a criterion when compared with self-report scales, such as the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrent validity with these scales and has fair validity with Sheehan's Dysfunction Inventory. The DIVA evaluation, unlike the more conventional methods of testing ADHD in adulthood, focuses on identifying the symptoms that occur during the teen years and in adulthood. This improves the accuracy of diagnoses and allows for a more accurate comparison of sociodemographic characteristics between the two groups. why are adhd assessments so expensive can also be used to assess the effect of coexisting disorders on the manifestation and severity of ADHD symptoms. If your Psychologist is unable to prescribe medication, you may need to make an appointment with a psychiatrist or a Paediatrician to discuss further evaluation and/or treatment. They can refer you to an expert Psychologist for more in-depth analysis of your symptoms, and to assess for differential or co-occurring diagnoses. This includes assessing for comorbid disorders like depression and anxiety. This will allow your Psychologist to recommend the best treatment plan. Getting Started Being diagnosed with ADHD can have a profound impact on your life providing explanations for long-standing problems and opening the door to effective treatment options. However, a thorough evaluation requires the expertise of experienced healthcare experts. The DIVA ADHD assessment, a structured and comprehensive tool, helps to improve the adult ADHD diagnosis accuracy by evaluating symptoms at various stages of life. It also detects patterns of behavior that persist of behavior, and distinguishes between ADHD symptoms and other conditions that may present similar symptoms for adults, such as anxiety or depression. In the DIVA ADHD assessment, a clinician conducts a structured interview to ask several questions regarding symptoms of hyperactivity, inattention and impulsivity. The clinician assesses the frequency, severity and duration of these symptoms to determine how they impact on the individual's life and how they function in a variety of environments. This information can be used to create an accurate diagnosis. The DIVA assessment is confirmed in comparison to other diagnostic tools. It has a high sensitivity when compared to CAA-DIDs, WURS-briefs, and psychiatrist's tests. It also has a high degree of validity when assessing ADHD symptoms in five areas of daily functioning: education and work as well as relationships with home and family; social contacts; and free time and hobbies. A well-validated DIVA assessment requires the participation of the person being assessed as well as their closest family members and their friends. This will help build trust and strengthen the therapeutic bond, which will be essential to the success of your assessment. A skilled psychologist or psychiatrist who is trained in the use of the DIVA ADHD assessment can give a thorough report. This report will present the results of the assessment and provide a treatment strategy that is based upon evidence. Please contact us to set up an appointment if you think you or someone you love may be suffering from ADHD. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can perform an evaluation. She can then make an appointment with a specialist to develop an effective treatment strategy. Be aware that a combination of psychotherapy and medication is the recommended treatment.