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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is an interview that is semistructured designed to enhance ADHD assessment in adults. This study will evaluate the validity of the criterion used in DIVA 2.0 and its validity in conjunction with Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID) 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, from relationships and career advancement to the day-to-day tasks that make up our lives. This is why it's important that our ADHD assessments adopt a holistic approach by examining how symptoms affect all aspects of our lives. Dr. Schilling will begin by evaluating your symptoms and medical history. She will then conduct the DIVA 5 assessment, a semi-structured interview designed to examine both the core symptoms of ADD/ADHD and how those symptoms have impacted your life. The DIVA is an interviewing tool developed by psychotherapists and psychiatrists to determine the signs of adult ADHD. It has been demonstrated to be highly sensitive and precise. It is also extremely efficient in identifying people suffering from the disorder. It can help raise awareness and diagnose adult ADHD in Korea as it is the only validated semistructured diagnostic test available in the country. In order to conduct the DIVA the trained clinician – often a psychiatrist or psychologist – will inquire about the primary symptoms of ADHD, including hyperactivity, inattention, and the tendency to be impulsive. The clinician will also delve into the individual's history, looking at their childhood experiences and how those may have affected their current behaviours. This is because the symptoms of ADHD don't just emerge suddenly, they develop through the teenage years, and even into adulthood. The DIVA can be used to detect ADHD because it takes into account both the DSM-IV ADHD criteria in the early years and later in adulthood and how these symptoms affect the individual's daily functioning in five distinct areas – education, employment and family/partner relationships, social activities/leisure, and confidence and self-esteem. Contrary to this other screening tools, such as the WURS-brief which was compared to the CAADID which showed poor sensitiveness and negative predictive value. Diagnosis In order to determine the presence of ADHD in adults, it is crucial to assess the symptoms and their history. This can be done through a comprehensive interview about childhood symptoms as well as an assessment of the neurocognitive. It is essential to take into consideration the impact that these symptoms have on the individual's work and life. This can be evaluated using a structured clinical interview, called the DIVA and, in certain instances, getting information from family members and friends. The DIVA interview is a semistructured interview originally designed for adults in the Netherlands. It has been revised to be used with adult patients in other countries, including Korea. This study examined the criterion that is valid for the Korean version (DIVA-5) using the clinical sample of patients with ADHD. During the DIVA the doctor will inquire about ADHD symptoms during the early years of life and into adulthood. They will also inquire about the age at which they first noticed symptoms and the extent of impairment caused by these symptoms. The clinician will also gather different sociodemographic information and inquire about any psychiatric co-morbidity. Patients were examined 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 diagnosis of clinical ADHD was determined by two psychiatrists with experience who utilized the DIVA-5 structured diagnostic interview to assess 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 has good concurrent validity when compared with the WURS scale, and has fair validity when compared with three self-report ratings instruments which include 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 diagnostic accuracy of the DIVA-5 was found to be comparable to that of a clinical diagnosis made by two experienced psychiatrists. This was in accordance with the sensitivity as well as specificity of earlier screening tools such ASRS and WURS. Treatment Undiagnosed ADHD can have a significant impact on your daily life. This can affect your relationships, academic progress as well as your work. It can also impact how you organize your daily life. A diagnosis can help identify your strengths and weaknesses and also provide treatment options to improve your symptoms and cope mechanisms. A licensed professional (typically a psychiatrist or a psychologist) will conduct a structured conversation with you, using the DIVA-5 tool to assess your current symptoms. This will consist of regular questions about your levels of hyperactivity, inattention, and impulsivity. It will also dig into your personal history, including your childhood experiences to create the full picture of your symptoms. This approach is crucial to ensure a complete diagnosis of adult ADHD. This allows us to better know your symptoms and help you with your treatment. The DIVA assessment is a highly effective way of diagnosing adult ADHD, with high sensitivity and specificity. It has also been demonstrated to be valid as a criterion when compared to self-report rating scales like the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concurrency with these and fair validity with Sheehan's Dysfunction Inventory. In contrast to the more conventional methods used to assess ADHD in adults, the DIVA assessment focuses on identifying and discussing symptoms that occur both during childhood and in adulthood, thus increasing the accuracy of the diagnosis and enabling an accurate comparison between sociodemographic characteristics of the two groups. The DIVA evaluation also gives an opportunity to think about the effect of co-occurring disorders on the presentation of ADHD symptoms. If your Psychologist is not able to recommend treatment, it might be necessary to schedule an appointment with a Pediatrician or Psychiatrist to further assess and/or therapy. You can be referred an expert psychologist for a more thorough evaluation of your symptoms and to determine if there are co-occurring or different diagnoses. This includes assessing any comorbid conditions, like depression or anxiety. This will help your Psychologist recommend an appropriate treatment plan. Getting Started Getting diagnosed with ADHD can be life-changing providing explanations for long-standing issues and opening doors to effective treatment options. A good evaluation does require the expert knowledge of qualified healthcare professionals. The DIVA ADHD assessment is a standardized and extensive tool that assists to improve the accuracy of an adult ADHD diagnosis by assessing symptoms across different life stages. It also helps identify patterns of behavior that are persistent and helps distinguish between ADHD symptoms and other disorders like depression or anxiety. In a DIVA ADHD assessment, a clinician uses a structured interview to ask a series of questions about symptoms of hyperactivity, inattention and an impulsiveness. The doctor evaluates the severity, frequency, and duration of symptoms to determine the extent to which they affect the person in various situations. This information can then be used to create an accurate diagnosis. The DIVA assessment is confirmed in comparison to other diagnostic tools. It has high sensitivity when compared to CAA-DIDs, WURS-briefs and psychiatrist's assessments. It has also excellent validity when conducting an assessment of ADHD in five areas of daily functioning: work and education, relationships with family and home social connections, free time and hobby. A well-validated DIVA assessment requires the participation of the individual being assessed as well as their closest family members and close friends. This helps to establish trust and strengthen the therapeutic bond that will be crucial to the success of the assessment. A psychologist or psychiatrist with experience in the DIVA ADHD assessment can write a detailed professional report. The report will detail the findings of the test and suggest a treatment plan that is based on evidence. Contact us to make an appointment if you think you or someone you know might have ADHD. Our doctor Kate Schilling has been trained in the use of DIVA ADHD assessments and is able to provide a comprehensive evaluation. She can refer you to a specialist who will formulate an appropriate treatment strategy. Please be adhd diagnostic assessment london that the treatment plan recommended is a combination of medications and psychotherapy.