DIVA ADHD - Improving Adult ADHD Diagnosis<br /><br />DIVA is a semi-structured interview designed to enhance ADHD assessments for adults. This study is aimed at assessing the validity of the criteria used in DIVA 2.0 and its concurrent validity compared to Conners Adult ADHD Diagnosis Interview for DSM-IV criteria.<br /><br />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.<br /><br />Symptoms<br /><br />The symptoms of ADD/ADHD impact every aspect of our lives including relationships and career progression to the daily tasks that are part of our lives. This is why it's crucial that our ADHD assessments are holistic and look at how the symptoms impact all areas of our lives. Dr. Schilling will begin by assessing 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 the impact these symptoms have had on your life.<br /><br />The DIVA is an interview tool designed by psychiatrists and psychotherapists to assess symptoms of adult ADHD. It has been proven to be highly sensitive and specific. It is also extremely effective in identifying those with the disorder. It is able to raise awareness of, and the diagnosis of, adult ADHD in Korea since it is the only validated semi-structured diagnostic interview for adults with ADHD available in the country.<br /><br />To conduct the DIVA, a trained clinician typically psychologist or psychiatrist will ask questions about the main symptoms of ADHD such as inattention, hyperactivity and impulsivity. The clinician will also examine the background of the person and their childhood experiences as well as their impact on their current behaviours. This is because the signs of ADHD do not just appear in a flash, they manifest throughout one's childhood, teen years, and into adulthood.<br /><br />The DIVA can 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 have affected the person's daily functioning in five distinct areas: education, employment, family/partner relationships and leisure/social activities, as well as confidence in oneself. Other screening tools, for instance the WURS brief, which was compared with the CAADID revealed low sensitivity and negative predictive value.<br /><br />Diagnosis<br /><br />In order to determine the presence of ADHD in adults, it is important to evaluate the signs and symptoms as well as their history. This can be done with a comprehensive interview on childhood symptoms and a neurological examination. It is crucial to think about the impact that these symptoms have on the person's job and daily life. This can be assessed by conducting a structured interview, the DIVA and, in some cases, getting information from family members and friends.<br /><br />The DIVA is an interview that is semi-structured and was initially designed for use with adults in the Netherlands. It has been redesigned to be used with adult patients in other countries including Korea. The study examined the criterion applicable to the Korean version (DIVA-5) using the clinical sample of adults suffering from ADHD.<br /><br />During the DIVA, the clinician asks about the presence of ADHD symptoms in childhood and adulthood, as well as the age at which symptoms onset, and the extent of impairment caused by those symptoms. The doctor will also collect a variety of sociodemographic information and ask about any psychiatric co-morbidities.<br /><br />The MINI-S and Version 5.0.0, the Brief Alcohol Related Neuropsychological Impaired Screening Instrument (BEARNI) along with the Frontal Assessment Battery were used to screen for psychiatric co-morbidity. A clinical diagnosis of ADHD was determined by two psychiatrists with years of experience who used the DIVA-5 structured diagnostic interview to assess symptoms in both the early years and in childhood, and determine the duration of these symptoms.<br /><br />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 fair validity when compared to three self-report ratings instruments which include the ASRS (self-report rating), FAB (self-report rating) and Sheehan's Dysfunction Inventory.<br /><br />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 the DIVA-5's diagnosis was found to be comparable to the accuracy of clinical diagnoses made by two psychiatrists. This was in agreement with the specificity and sensitivity of previous screening tools like the ASRS and the WURS.<br /><br /><br /><br />Treatment<br /><br />If you are not diagnosed with ADHD it can greatly affect your life. This could be in a variety of aspects, from relationships to academic and work progress to the simple tasks of organising daily living. A diagnosis can help you determine your strengths and weaknesses, and also offer treatment options to improve your symptoms and cope mechanisms.<br /><br />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 involve standardised questions about your levels of hyperactivity, inattention, and impulsivity. It will also look into your personal history, including your childhood experiences, in order to get a full picture of your symptoms and the impact they have on your life.<br /><br />This is essential to ensure a complete diagnosis of adult ADHD. It also allows us to understand the root causes of your symptoms, which helps guide your treatment.<br /><br />The DIVA assessment can be used to diagnose adult ADHD with high specificity and sensitivity. It has also been proven to be reliable in determining the validity of criterion when compared with self-report rating scales such as the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concurrency with these scales, and good validity with Sheehan's Dysfunction Inventory.<br /><br />The DIVA evaluation, in contrast to traditional methods for testing ADHD in adulthood, focuses on identifying the symptoms that manifest in childhood and adults. This improves the accuracy of the diagnoses and allows for 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 conditions on the presentation of ADHD symptoms.<br /><br />If your Psychologist is not able to recommend treatment, it might be necessary to make an appointment with a Pediatrician or Psychiatrist to further assess and/or therapy. They can then refer you to a specialist Psychologist for further in-depth analysis of your symptoms and to look for co-occurring diagnoses and differentials. This includes assessing any comorbid disorders, such as depression or anxiety. This will allow your Psychologist to recommend the best treatment plan.<br /><br />Getting Started<br /><br />Being diagnosed with ADHD can be life-changing providing explanations for long-standing difficulties and opening doors to effective treatment options. A successful evaluation requires 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 evaluating symptoms across different life stages. It also identifies persistent patterns of behavior, and distinguishes between ADHD symptoms and other conditions which may have similar symptoms in adults, such as anxiety or depression.<br /><br />In <a href="https://www.iampsychiatry.com/private-adhd-assessment">www.iampsychiatry.com</a> , a clinician uses a structured interview to ask a series of questions about symptoms of inattention, hyperactivity and an impulsiveness. The doctor evaluates the intensity, frequency and duration of symptoms to determine how they affect an person in various situations. This information can be used to develop an accurate diagnosis.<br /><br />The DIVA assessment has been validated against other diagnostic tools and shows high sensitivity in comparison to the WURS-brief and CAA-DID as well as the assessment of a psychiatrist. It also has excellent accuracy when assessing ADHD symptoms in five areas of daily functioning: work and education as well as relationships with family and home social contact; leisure time and hobbies.<br /><br />To be able to conduct an accurate DIVA assessment, the person being evaluated, their family members and friends must be present. This will help build trust and strengthen the therapeutic connection, which is essential to the success of your evaluation.<br /><br />A psychologist or psychiatrist with experience in the DIVA ADHD assessment can write a detailed, professional report. This report will outline the findings of the test and provide a treatment strategy that is based upon evidence.<br /><br />Contact us to make an appointment if you think you or someone you love may have ADHD. Our doctor Kate Schilling has been trained to use the DIVA ADHD assessments and is able to provide a thorough evaluation. She can refer you to an expert who will create a treatment plan. Please be aware that the recommended treatment method is a combination of medication and psychotherapy.<br /><br />
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