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Diagnosing ADHD with Diva-5

DIVA-5 stands for Diagnostic Interview for ADHD in Adults. It is a structured diagnostic ADHD assessment designed specifically for evaluating ADHD in adults. Developed by experts in the field, including researchers and clinicians, this tool is tailored to address the unique challenges and manifestations of ADHD in adults.
Why is DIVA-5 so important in an ADHD Assessment?
According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders 5th Edition), diagnosing ADHD in adults involves determining the presence of ADHD in both childhood and adulthood. To evaluate the individual’s experiences against each of the 18 symptom criteria for ADHD in childhood and adulthood, the DIVA-5 interview provides a list of concrete and realistic examples of current and retrospective behaviour.

The DIVA-5 asks only about the core symptoms of ADHD required to make the DSM-5 diagnosis. It does not ask about other comorbid conditions that may be present alongside ADHD. This highlights the importance of conducting a full, general psychiatric assessment, as it is thought that over half of those with ADHD also have comorbid conditions.

How is the DIVA-5 Used in an ADHD Assessment?


In the Ukraine, the DIVA-5 assessment is rapidly gaining recognition due to its evidence-based approach, alignment with international diagnostic criteria, and its ability to provide a holistic view of an individual's ADHD symptoms and their impact on daily life. The assessment process involves several stages:


Initial Contact

When seeking an ADHD assessment in Ukraine, individuals may be referred by their primary care physician (GP), mental health professional, or even self-refer. This marks the beginning of the diagnostic journey.


Clinical Interview

A qualified clinician, often a psychiatrist or psychologist, conducts a structured interview with the individual seeking the ADHD assessment. This interview is crucial in understanding the nature and severity of symptoms, as well as their impact on daily life.


Symptom Evaluation

During the interview, the clinician uses the DIVA-5 assessment tool to ask a series of standardised questions related to ADHD symptoms. This includes questions about inattention, hyperactivity, and impulsivity, considering both the presence and persistence of these symptoms.


Contextual Exploration

The clinician will then delve into the individual's history, including childhood experiences, academic performance, employment history, and relationships. Understanding the context in which symptoms have manifested helps paint a complete picture.


Comprehensive Assessment

The DIVA-5 assessment goes beyond symptom identification, it assesses the impact of ADHD symptoms on daily functioning, work, relationships, and overall quality of life.


Collaborative Approach

In some cases, additional information from family members, partners, or close friends may be requested. This collaborative approach provides a broader understanding of the individual's behaviour and its impact.


Diagnosis and Recommendations

Based on the assessment findings, the clinician determines whether the individual meets the criteria for an ADHD diagnosis. If a diagnosis is made, the clinician provides recommendations for treatment options, which may include behavioural interventions, psychoeducation, and, in some cases, medication and NEUROFEEDBACK.



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