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DIVA ADHD - Improving Adult ADHD Diagnosis
DIVA is a semi-structured, structured interview that has been developed to enhance ADHD assessments in adults. This study is designed to assess 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
ADD/ADHD symptoms affect all aspects of our lives from relationships to advancement in our careers and the daily tasks we do. That's why it is so important that our ADHD assessments take a holistic approach 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 evaluate the primary symptoms of ADD/ADHD and how those symptoms have impacted your life.
The DIVA is a diagnostic interview tool developed by psychiatrists and psychologists to assess adult ADHD symptoms. It has been found to be extremely sensitive and precise. It is highly effective at identifying those who have the disorder. It has the potential to raise awareness of, and the diagnosis of the condition of adult ADHD in Korea because it is the only validated semi-structured diagnostic interview for adults suffering from ADHD available in the country.
To perform the DIVA, a trained clinician typically psychologist or psychiatrist will ask questions about the core symptoms of ADHD, including hyperactivity, inattention and the tendency to be impulsive. The psychologist will also look at the history of the individual, including their childhood experiences and their influence on their behavior. The symptoms of ADHD don't appear in a flash. They develop over a period of time from childhood through teen years and adulthood.
The DIVA is able to effectively identify those with ADHD because it takes into account both the DSM-IV criteria for ADHD in childhood and adulthood and how the symptoms have affected the individual's daily functioning in five different areas of life: education and work, family/partnership relations and leisure time/social activities, and self-esteem and self-confidence. Other screening tools, for instance the WURS brief, which was compared with the CAADID demonstrated low sensitivity and negative predictive value.
Diagnosis
To determine ADHD in adults it is essential to evaluate the symptoms as well as their background. This can be done by a comprehensive interview about childhood symptoms and a neurocognitive assessment. It is also essential to consider the impact of the symptoms on the person's life and work. This can be assessed by using a structured interview, the DIVA and, in some cases, asking for information from family members 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 evaluated the validity of the Korean version of DIVA (DIVA-5) in a clinical sample of adults with ADHD.
During the DIVA, the clinician asks about the presence of ADHD symptoms during childhood and adulthood, as well as the time at which the symptoms first manifest, as well as the severity of impairment resulting from these symptoms. The clinician will also collect different 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 diagnosis of clinical ADHD was determined by two experienced psychiatrists who utilized the structured diagnostic interview DIVA-5 to assess symptoms in both childhood and adulthood, and to 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 has good concurrent validity when compared to the WURS scale, and 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 accuracy of the DIVA-5's diagnosis was found to be comparable to that of a clinical diagnoses that were made by two psychiatrists. This was in line both 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 could be in a variety of aspects, from relationships to work and academic progress to the simple tasks of managing your daily life. A diagnosis can help you determine your strengths and difficulties, and also provide solutions to improve your symptoms and coping mechanisms.
A qualified psychologist (typically a psychiatrist or a psychologist) will have a structured discussion with you, using the DIVA-5 tool to assess your current symptoms. This will involve asking standardised questions about your levels hyperactivity, inattention, and impulsivity. It will also look into your personal history, including childhood experiences to get a complete picture of your symptoms.
This method is essential to ensure a complete diagnosis of adult ADHD. This helps us better know your symptoms and help you with your treatment.
The DIVA assessment is an extremely efficient method of diagnosing adults with ADHD and has excellent sensitivity and specificity. It has also been shown to have sound criterion validity, when compared to self-report scales for rating such as the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good concordance validity with these scales and good validity with Sheehan's Dysfunction Inventory.
The DIVA evaluation, unlike more traditional methods of measuring ADHD in adulthood it focuses on identifying signs that are present in childhood and into adulthood. This increases the accuracy of the diagnoses and allows a more accurate comparison of sociodemographic characteristics between the two groups. The DIVA evaluation also offers an opportunity to consider the impact of co-occurring disorders on the presentation of ADHD symptoms.
If your Psychologist is unable to prescribe medication, you may need to make an appointment with a Psychiatrist or a Paediatrician to discuss further assessment and/or treatment. You can be referred a specialist psychologist for a more thorough evaluation of your symptoms and to determine if there are any co-occurring diagnoses or differential diagnoses. This includes assessing for co-occurring disorders like depression and anxiety. I Am Psychiatry will help your Psychologist recommend an appropriate treatment plan.
Getting Started
Being 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. A successful evaluation requires the expertise of trained healthcare professionals. The DIVA ADHD assessment is a standardized and extensive tool that assists to improve the accuracy of adult ADHD diagnosis by assessing symptoms across different life stages. It also helps identify patterns of behavior and differentiates between ADHD symptoms and other conditions that may present similar symptoms in adults, like depression or anxiety.
In an DIVA ADHD evaluation, a doctor will conduct an organized interview to ask a series questions about symptoms such as hyperactivity, inattention, and the tendency to be impulsive. The clinician assesses the severity, frequency and duration of symptoms to determine the extent to which they affect the person in various settings. This information can then be used to develop an accurate diagnosis.
The DIVA assessment has been verified against other diagnostic tools and exhibits high sensitivity in comparison to the WURS-brief and CAA-DID as well as the assessment of a psychiatrist. It also has excellent reliability in it comes to assessing ADHD in five areas of daily function that include education and work relationships home and family social connections, free time and hobbies.
To be able to conduct an authentic DIVA assessment, the person being assessed and their family and friends must be present. This will help build trust and a strong therapeutic bond, which will be crucial to the success of your assessment.
An experienced psychologist or psychiatrist who is trained in the use of the DIVA ADHD assessment can give a thorough report. This report will present the findings of the assessment and recommend a treatment program that is based on the data.
If you suspect that you or a loved one might 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 has been trained in the use of the DIVA ADHD assessments and is able to provide a thorough evaluation. She can then provide an appointment with a specialist to develop an effective treatment plan. Be aware that an amalgamation of medication and psychotherapy is the most effective treatment.
My Website: https://www.iampsychiatry.com/private-adhd-assessment
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