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DIVA ADHD – Improving Adult ADHD Diagnosis DIVA is a semi-structured interview that has been developed to enhance ADHD assessments in adults. This study will evaluate the reliability of the criteria used to determine 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 The symptoms of ADD/ADHD impact every area of life from relationships and career advancement to the daily tasks that are part of our lives. That's why it is so crucial that our ADHD assessments adopt a holistic approach, looking at how symptoms affect all aspects of life. Dr. Schilling will begin by assessing your symptoms and medical history. She will then take the DIVA 5 assessment, a semi-structured interview that is designed to assess the primary symptoms of ADD/ADHD and how those symptoms have impacted your life. The DIVA is an interview tool for diagnosing ADHD. It was developed by psychiatrists and psychologists to determine adult ADHD symptoms. It has been shown to have a high sensitivity to sound and a high degree of specificity. It is also highly effective in identifying individuals suffering from the disorder. It has the potential to raise awareness of, and diagnose the condition of adult ADHD in Korea, as it is the only validated semi-structured diagnostic interview for adults suffering from ADHD available in the country. A trained and experienced clinician, typically psychiatrists, will inquire about the most prominent symptoms of ADHD. These include hyperactivity, inattention and an impulsive nature. The clinician will also look at the background of the person and their childhood experiences and the influence on their behavior. adhd assessment uk online of ADHD don't appear in a flash. They develop over a time from childhood through teen years and then into adulthood. The DIVA can efficiently detect those suffering from ADHD, as it takes into consideration both the DSM-IV criteria for ADHD during childhood and into adulthood, and how those symptoms have impacted the person's daily functioning in five areas of life: education and work, family/partnership relations and leisure time/social activities, and self-esteem and confidence in oneself. Other screening tools, for instance the WURS brief that was compared to the CAADID revealed low 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 an extensive interview about childhood symptoms and a neurological examination. It is also essential to assess the effects of the symptoms the person's life and work. This can be determined through a structured medical interview, called the DIVA and, in certain cases, obtaining information from friends and family members. The DIVA interview is a semistructured interview first developed for adults in the Netherlands. It has been refined to be used in other countries, including Korea. This study examined the criterion that is valid for the Korean version (DIVA-5), in the clinical sample of adults with ADHD. During the DIVA, the clinician asks about the presence of ADHD symptoms in childhood and adulthood, as well as the age at which symptoms first manifest, as well as the severity of impairment resulting from these symptoms. The clinician will also gather a variety of sociodemographic information and inquire about any psychiatric-related co-morbidity. The MINI-S as well as Version 5.0.0 The MINI-S plus Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI) and the Frontal Assessment Battery were used to detect psychiatric co-morbidity. Two psychiatrists who are experienced employed the structured diagnostic interview DIVA-5 in order to establish a diagnosis of ADHD. They evaluated symptoms in adulthood as well as 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 was shown to have good concurrent validity with the WURS scale and 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 diagnostic accuracy of the DIVA-5 was found to be similar to the accuracy of a clinical diagnosis made by two experienced psychiatrists. This was in line with the sensitivity as well as specificity of earlier screening tools, like ASRS and WURS. Treatment If you are not diagnosed with ADHD it can greatly impact your life. It can impact your relationships, academic progress as well as your 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 solutions to improve your symptoms and coping mechanisms. A qualified clinician, typically psychologist or psychiatrist, will conduct an in-depth interview with you about your current symptoms using the DIVA-5 assessment tool. This will consist of standardised questions about your levels of hyperactivity, inattention, and the tendency to be impulsive. It will also delve into your personal history, including your childhood experiences, to obtain a complete picture of your symptoms and their impact on your life. This approach is essential for a thorough adult ADHD diagnosis. It also helps us understand the root causes of your symptoms, which will help determine the best treatment for you. The DIVA assessment is a highly efficient method of diagnosing adults with ADHD, with excellent sensitivity and specificity. It has also been shown to be valid as a criterion when compared to self-report scales like the Wender Utah Rating Scales (WURS) or the ADHD-Rating Scale. It has a good concordance with these scales, and has good validity with Sheehan's Dysfunction Inventory. In contrast to the more conventional methods of assessing ADHD in adults, the DIVA evaluation is focused on identifying and discussing symptoms that can be observed in childhood and in adulthood, thus increasing the accuracy of diagnosis and allowing a more accurate comparison between sociodemographic characteristics of the two groups. The DIVA assessment also allows for consideration of the impact of coexisting disorders on symptoms and severity of ADHD symptoms. If your Psychologist is unable to prescribe medication, you might 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 determine if there are any co-occurring diagnoses and differentials. This includes assessing for comorbid conditions such as depression and anxiety. This will help your Psychologist determine the best treatment plan. Getting Started Getting 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 good evaluation requires the expertise of qualified healthcare professionals. The DIVA ADHD assessment, which is a structured and comprehensive tool, can help to improve adult ADHD diagnosis accuracy by analyzing symptoms across different stages of life. It also identifies persistent patterns of behavior, and distinguishes between ADHD symptoms and other conditions which may have similar symptoms for adults, such as depression or anxiety. In the course of a DIVA ADHD evaluation, a practitioner will conduct a structured interview in order to ask a series questions about symptoms such as hyperactivity, inattention and an impulsiveness. The clinician assesses the frequency, severity and duration of these symptoms in order to understand how they impact an person's life and performance in various situations. This information can then be utilized to establish a precise diagnosis. The DIVA assessment has been validated in comparison with other diagnostic tools. It has a high sensitivity when compared to CAA-DIDs, WURS-briefs and psychiatrist's tests. It also has high accuracy when assessing ADHD symptoms in five areas of daily functioning: education and work; relationships; home and family social contact; free time and leisure. For a valid DIVA assessment, the person being evaluated, their family and friends must be present. This will help build trust and a therapeutic bond that will be essential for the success of the assessment. An experienced psychologist or psychiatrist who has been skilled in the use of the DIVA ADHD assessment will be able to give a thorough report. The report will detail the findings of the test and suggest a treatment plan that is based on the evidence. If you suspect that you or someone you love may be suffering from ADHD If you suspect that someone you know may have ADHD, please call us to make an appointment. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and can perform an assessment. She can then make a referral to a specialist to create an effective treatment plan. Please be aware that the combination of medication and psychotherapy is the recommended treatment.