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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is an interview that is semistructured designed to improve ADHD assessment in adults. This study aims at evaluating the validity of the criteria used in DIVA 2.0 as well as its concurrent validity compared to 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 can affect all aspects of life from 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 impact all areas of life. During your evaluation, Dr. Schilling will start by gathering information about your symptoms and health background. She will then conduct the DIVA 5 assessment. This is a semi-structured interview which evaluates both the main symptoms and the impact of ADD/ADHD on your life. The DIVA is an interviewing instrument designed by psychiatrists and psychotherapists to determine the signs of adult ADHD. It has been found to be highly sensitive and specific. It is also extremely efficient in identifying people suffering from the disorder. It has the potential to increase awareness of, and diagnosis of the condition of adult ADHD in Korea since it is the only validated semi-structured diagnostic test for adults suffering from ADHD available in the country. To perform the DIVA, a trained clinician – often psychologists or psychiatrists will inquire about the primary symptoms of ADHD, including hyperactivity, inattention and an impulsive nature. The doctor will also analyze the background of the person and their childhood experiences and their impact on their current behaviours. The symptoms of ADHD do not appear suddenly. They appear over a long period of time from childhood through teen years and then into adulthood. The DIVA can efficiently identify people suffering from ADHD by taking into account both the DSM-IV criteria for ADHD in adulthood and childhood and how the symptoms have affected an person's daily functioning in five different areas of life – education work, family/partner relationships, family social activities/leisure time and self-esteem and self-confidence. Contrary to this, other screening tools such as the WURS-brief which was compared to the CAADID which showed poor accuracy and negative predictive values. Diagnosis In order to diagnose ADHD in adults, it is important to determine the severity of the symptoms and their history. This can be accomplished through an extensive interview about childhood symptoms as well as a neurological examination. It is crucial to think about the impact these symptoms have on the individual's work and life. This can be assessed by conducting a structured interview, the DIVA and, in certain cases, getting information from family and friends. The DIVA is an interview with a semi-structured format that was initially developed to be used with adults in the Netherlands. It has been revised for use in other countries including Korea. This study examined the validity of the Korean version of DIVA (DIVA-5) in an adult clinical sample with 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 at which symptoms first started to manifest symptoms and the degree of impairment triggered by these symptoms. The clinician will also gather a variety of sociodemographic information and ask about any psychiatric 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). A clinical diagnosis of ADHD was determined by two experienced psychiatrists who utilized the DIVA-5, a structured diagnostic interview, to evaluate symptoms in both the early years and in 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. This diagnostic tool was found 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 diagnosing ADHD with the DIVA-5 was found to be comparable to that of a clinical diagnosis established by two expert psychiatrists. This was in accordance with the sensitivity and specificity of previous screening tools such as the ASRS and the WURS. adhd assessment scotland I Am Psychiatry If you're not aware of ADHD, it can significantly impact your life. It can affect many aspects, from relationships to academic and work progress to the basic tasks of organising daily living. A diagnosis can help you recognize your strengths and difficulties, and also provide treatments that can improve your symptoms and coping mechanisms. A trained clinician, usually psychologist or psychiatrist, will conduct a structured interview with you about your current symptoms using the DIVA-5 assessment tool. This will include asking standard questions about your levels of hyperactivity, inattention, and an impulsiveness. It will also look into your personal history and childhood experiences to get an accurate picture of your symptoms. This method is essential to ensure a thorough diagnosis of adult ADHD. It also helps us identify the root cause of your symptoms, which will help guide your treatment. The DIVA assessment is a highly effective way of diagnosing adult ADHD with high sensitivity and specificity. It has also been shown to be valid as a criterion when compared with self-report rating scales such as the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has a good concordance with these scales, and has good validity with Sheehan's Dysfunction Inventory. Unlike the more traditional methods of assessing ADHD in adults, the DIVA evaluation is focused on identifying and discussing the symptoms that are present in both the teen years and into adulthood, increasing the accuracy of the diagnosis and enabling an easier comparison of sociodemographic characteristics of the two groups. The DIVA assessment also permits consideration of the impact of coexisting disorders on manifestation and severity of ADHD symptoms. If your Psychologist is unable to prescribe medication, it may be necessary to make an appointment with a Paediatrician or Psychiatrist for further assessment and/or therapy. You can be referred to psychologists who specialize in thorough assessment of your symptoms and to determine if there is any co-occurring or differential diagnoses. This includes assessing for comorbid conditions such as depression and anxiety. This will allow your Psychologist to recommend an appropriate treatment plan. Getting Started A diagnosis of ADHD can transform your life. It offers solutions to long-standing problems and opens the way to effective treatment options. A good evaluation does require the expert knowledge of qualified healthcare professionals. The DIVA ADHD assessment, which is a structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by evaluating symptoms at various stages of life. It also identifies patterns of behavior that persist and aids in distinguishing between ADHD symptoms and other conditions, such as anxiety or depression. In the course of a DIVA ADHD evaluation, a doctor will conduct a structured interview in order to ask a series questions about symptoms such as hyperactivity, inattention, and impulsivity. The clinician evaluates the frequency, severity and duration of these symptoms to determine how they impact an person's life and performance in various settings. This information can be used to determine an accurate 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 when assessing ADHD in five areas of daily functioning: work and education, relationships, home and family social interactions, free time and hobbies. For an authentic DIVA assessment, the person being evaluated as well as their family members and friends must be present. This will help establish trust and strengthen the therapeutic bond, which will be essential to the success of your evaluation. A psychologist or psychiatrist with expertise in the DIVA ADHD assessment can write an in-depth professional report. This report will outline the findings of the test and suggest a treatment plan that is based upon evidence. If you suspect that you or someone you love may be suffering from ADHD Contact us to make an appointment. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can provide an assessment. She will refer you to an expert who will create a treatment plan. Be aware that an amalgamation of medication and psychotherapy is the most effective treatment.