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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 criteria used in DIVA 2.0 and 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. Signs and symptoms The symptoms of ADD/ADHD affect every aspect of our lives from relationships to advancement in our careers and the daily tasks we perform. That's why it is so important that our ADHD assessments adopt a holistic approach, looking at how symptoms impact all areas of our lives. During your evaluation, Dr. Schilling will begin by obtaining information about your symptoms and health history. She will then conduct an DIVA 5 assessment. This is a semi-structured, interview which evaluates both the main symptoms and the impact of ADD/ADHD your life. The DIVA is an interview tool developed by psychotherapists and psychiatrists to assess symptoms of adult ADHD. It has been proven to have high sensitivity and specificity. It is also extremely effective in identifying individuals suffering from the disorder. It has the potential to increase awareness of, and diagnose adult ADHD in Korea because it is the only validated semi-structured diagnostic interview for adults with ADHD available in the country. To conduct the DIVA the trained clinician usually psychologist or psychiatrist will ask questions about the main symptoms of ADHD, including hyperactivity, inattention, and impulsivity. The doctor will also examine the background of the person and their childhood experiences and the impact on their present behavior. This is because the signs of ADHD do not just appear in a flash, they manifest throughout the teen years, and even into adulthood. The DIVA can detect ADHD because it considers both the DSM-IV ADHD criteria during childhood and into adulthood and how these symptoms affect the individual's daily functioning across five different areas: education, employment, family/partner relationships, social activities/leisure, and self-esteem/confidence. Other screening tools, for instance the WURS brief that was compared to the CAADID demonstrated low sensitivity and negative predictive value. Diagnosis In order to diagnose ADHD in adults, it is crucial to assess the symptoms and their causes. This can be done by a comprehensive interview about childhood symptoms and an assessment of the neurocognitive. It is crucial to think about the impact these symptoms can have on a person's work and life. This can be assessed by conducting a structured interview, the DIVA and, in some cases, obtaining information from friends and family members. 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 examined the validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adults with ADHD. During the DIVA the clinician will ask about ADHD symptoms during the early years and in adulthood. They will also inquire about the age of onset of symptoms and the degree of impairment triggered by these symptoms. The clinician will also gather different sociodemographic information and ask about any psychiatric-related co-morbidity. Patients were examined for psychiatric comorbidity using the MINI-S plus version 5.0.0, the Brief Alcohol Related Neuropsychological Impairment Screening Instrument (BEARNI), and the Frontal Assessment Battery (FAB). Two psychiatrists with experience utilized the structured diagnostic interview DIVA-5 in order to determine a clinical diagnosis of ADHD. They evaluated 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 to three self-report ratings instruments: 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 comparable to that of a clinical diagnosis made by two experienced psychiatrists. This was in line with the sensitivity and specificity of earlier screening tools such ASRS and WURS. Treatment If you are not diagnosed with ADHD it could significantly impact your life. It can affect many aspects, from relationships to academic progress and work to the basic tasks of managing your daily life. A diagnosis can help you identify your strengths and difficulties, and also provide solutions to improve your symptoms and coping mechanisms. A licensed professional (typically psychiatrists or psychologist) will conduct a structured discussion with you using the DIVA-5 instrument to assess your current symptoms. This will include asking standard questions regarding your levels of hyperactivity, inattention, and an impulsiveness. It will also dig into your personal history, including childhood experiences to give you an accurate picture of the symptoms you are experiencing. This method is essential for ensuring a thorough diagnosis of adult ADHD. It also allows us to understand the root causes of your symptoms, which can help guide your treatment. The DIVA assessment can be used to determine adult ADHD with high specificity and sensitivity. It has also shown to have good criterion valid when compared with self-report scales such as Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has a good concordance with these scales, and has reasonable validity with Sheehan's Dysfunction Inventory. adhd assessment women , in contrast to traditional methods for testing ADHD in adulthood, focuses on identifying the symptoms that occur during childhood and into adulthood. This improves the accuracy of the diagnoses and allows a more accurate comparison of sociodemographic traits between the two groups. The DIVA evaluation also offers an opportunity to look at the effect of co-occurring disorders on appearance of ADHD symptoms. If your Psychologist is not able to recommend medication, it may be necessary to set up an appointment with a pediatrician or Psychiatrist for a further assessment and/or therapy. They will then refer you to an expert Psychologist for more in-depth analysis of your symptoms, and to determine if there are any differential or co-occurring diagnoses. This includes assessing for co-occurring conditions like depression and anxiety. This will allow your Psychologist to recommend the best treatment plan. Getting Started A diagnosis of ADHD can alter your life. It offers solutions to long-standing problems and opens the way to effective treatment options. A good evaluation does require the expertise of trained healthcare professionals. The DIVA ADHD assessment is a standardized and comprehensive tool that can help to improve the accuracy of adult ADHD diagnosis by assessing symptoms across different life stages. It also detects patterns of behavior that persist of behavior, and distinguishes between ADHD symptoms and those of other conditions that may present similar symptoms in adults, such as depression or anxiety. In an DIVA ADHD assessment, a doctor conducts an interview to ask an array of questions about symptoms of hyperactivity, inattention and the tendency to be impulsive. The clinician evaluates the frequency, severity and duration of these symptoms in order to understand how they impact an individual's life and how they function in several environments. This information is then utilized to establish a precise diagnosis. The DIVA assessment has been validated against other diagnostic tools and shows high sensitivity when compared to the WURS-brief, CAA-DID and the assessment of a psychiatrist. It also has excellent reliability for assessing ADHD in five areas of daily functioning such as education and work, relationships, home and family social interactions, free time and hobby. A valid DIVA assessment requires participation from the person being evaluated and their close family members and friends. This will help build trust and create a therapeutic bond that is crucial to the success of the assessment. A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can write an extensive professional report. This report will outline the findings of the assessment and recommend a treatment plan that is based on the data. If you think you or a loved one might have ADHD, please contact us for an appointment. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and is able to provide an evaluation. She can refer you to a specialist who will develop an appropriate treatment strategy. Please be aware that a combination of medication and psychotherapy is the best treatment.