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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semi-structured, structured interview designed to improve ADHD assessments in adults. This study aims at evaluating the criterion valid of DIVA 2.0 and 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. Symptoms The symptoms of ADD/ADHD affect every aspect of our lives, from relationships to advancement in our careers and the daily tasks we do. This is why it's crucial that our ADHD assessments take a holistic approach, looking at how symptoms impact all areas of our lives. During your evaluation, Dr. Schilling will start by gathering information about your symptoms and health history. She will then take the DIVA 5 assessment, a semi-structured interview designed to examine both the core symptoms of ADD/ADHD as well as how they have affected your life. The DIVA is an interviewing tool developed by psychiatrists and psychotherapists to assess symptoms of adult ADHD. It has been shown to have sound sensitivity and specificity. It is also extremely effective in identifying those with the disorder. It is able to raise awareness and diagnose adult ADHD in Korea since it is the only validated semistructured diagnosis interview available in the country. A trained clinician, usually a psychiatrist will ask questions to determine the primary symptoms of ADHD. These include inattention, hyperactivity and an impulsive nature. The doctor will also analyze the history of the individual and 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 in a flash, they manifest through the teenage years, and through adulthood. The DIVA is able to effectively identify those with ADHD because it takes into account both the DSM-IV criteria for ADHD in adulthood and childhood and how these symptoms have affected an individual's daily functioning in five distinct areas of life: education, work, family/partner relations, social activities/leisure time, and self-esteem and self-confidence. Other screening tools, for instance the WURS brief that was compared with the CAADID showed poor sensitivity, and negative predictive value. Diagnosis In order to diagnose ADHD in adults, it is important to assess the symptoms and their history. This can be done through a comprehensive interview on childhood symptoms and an assessment of the neurological. It is crucial to think about the impact these symptoms can have on a person's work and daily life. This can be assessed by conducting a structured interview, called the DIVA and, in some cases, obtaining information from friends and family members. The DIVA is an interview with a semi-structured format that was initially designed for use with adults in the Netherlands. It has been revised for use in other countries, including Korea. This study examined the criterion applicable to the Korean version (DIVA-5) in an actual clinical sample of adults suffering from ADHD. During the DIVA the doctor will inquire about ADHD symptoms during childhood and adulthood. They will also inquire about the age at which symptoms first started to manifest symptoms and the degree of impairment caused by these symptoms. The doctor also collects a diverse set of sociodemographic data and inquires about any psychiatric co-morbidity. Patients were screened for psychiatric comorbidity using the MINI-S plus version 5.0.0 as well as 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 used the DIVA-5 structured diagnostic interview to evaluate symptoms in both adulthood and childhood and 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. This diagnostic tool was shown to have good compatibility with the WURS scale as well as fair concurrent validity with three self-report rating 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 DIVA-5's diagnostic accuracy was found to be comparable to the accuracy of a clinical diagnoses given by two psychiatrists. This was in accordance with the specificity and sensitivity of earlier screening tools like the ASRS and the WURS. Treatment If you are not diagnosed with ADHD it could significantly affect your life. This can affect your relationships, academic performance, and work. It can also impact the way you organize your day-to-day activities. A diagnosis can help you recognize your strengths and weaknesses as well as offer treatments that can help you manage your symptoms and mechanisms. A qualified clinician (typically a psychiatrist or a psychologist) will have a structured discussion with you, using the DIVA-5 tool to evaluate your current symptoms. This will involve standardised questions about your levels of hyperactivity, inattention, and impulsivity. It will also dig into your personal history, including childhood experiences to give you the full picture of your symptoms. This is essential to ensure a thorough diagnosis of adult ADHD. This will help us better know your symptoms and help you with your treatment. The DIVA assessment can be used to identify adult ADHD with high specificity and sensitivity. It has also been shown to be valid as a criterion when compared with self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has good concurrent validity with these scales, and reasonable validity with Sheehan's Dysfunction Inventory. The DIVA assessment, in contrast to the more conventional methods of assessing ADHD in adulthood, focuses on identifying symptoms that occur during the teen years and in adulthood. This improves the accuracy of diagnosis and allows for a more accurate comparison of sociodemographic characteristics between the two groups. The DIVA assessment also permits consideration of the impact of co-existing disorders on the symptoms and severity 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 further assessment and/or therapy. They can then refer you to a specialist Psychologist to conduct an thorough evaluation of your symptoms and to assess for co-occurring diagnoses and differentials. This includes assessing for comorbid disorders like depression and anxiety. This will allow your Psychologist to determine the best treatment plan. Getting Started A diagnosis of ADHD can transform your life. It provides answers to persistent problems and opens the door to effective treatment options. However, a reliable assessment requires the expertise of experienced healthcare experts. The DIVA ADHD assessment, a well-structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by analyzing symptoms across different stages of life. It also detects patterns of behavior that persist of behavior and differentiates between ADHD symptoms and those of other disorders that can exhibit similar symptoms in adults, like depression or anxiety. In an 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 an impulsiveness. The doctor evaluates the intensity, frequency and duration of symptoms to determine how they affect the individual in different settings. This information can be used to determine an accurate diagnosis. The DIVA test is confirmed in comparison to other diagnostic tools. It shows high sensitivity in comparison to CAA-DIDs, WURS-briefs, and psychiatrist's assessments. It also has a high degree of validity when measuring ADHD symptoms in five areas of daily functioning: work and education as well as relationships, family and home; social contacts; and free time and leisure. A well-validated DIVA assessment requires participation from the person being evaluated as well as their close family members and their friends. This helps to establish trust and a therapeutic bond that will be important to the success of the evaluation. A skilled psychologist or psychiatrist who has been trained in the use of the DIVA ADHD assessment will be able to provide a detailed report. This report will outline the findings of the test and suggest a treatment plan that is based on the evidence. If psychiatry-uk adhd assessment think you or a loved one may be suffering from ADHD If you suspect that someone you know may have ADHD, please call us for an appointment. Our doctor Kate Schilling has been trained to use the DIVA ADHD assessments and is able to provide a thorough evaluation. She can then provide a referral to specialists to design an effective treatment plan. Be aware that the treatment plan recommended is a combination of medication and psychotherapy.