Diagnostic Interview for ADHD in Adults (DIVA-5)

PART 2: DIAGNOSIS AND FORMULATION  
Summary of the DIVA-5 outcome measure
A. Persistent pattern of inattention and/or hyperactivity-impulsivity that disrupts functioning or development – characterized by deficits in social communication and interaction across various contexts, as evidenced by all the following, currently or historically:
A1 - Symptoms of Inattention:
- A1(a): Do you frequently overlook details or make careless errors in your work or other activities? How was this during childhood (in schoolwork or other activities)? Adult: present, Child: present
- A1(b): Do you often struggle to maintain attention in tasks? How was this during childhood (in play activities)? Adult: present, Child: present
- A1(c): Does it often seem like you are not listening when spoken to directly? How was this during childhood? Adult: present, Child: present
- A1(d): Do you frequently not follow through on instructions and fail to complete chores or duties at work? How was this during childhood (in schoolwork)? Adult: present, Child: present
- A1(e): Do you often find it hard to organize tasks and activities? How was this during childhood? Adult: present, Child: present
- A1(f): Do you often avoid (or dislike, or are reluctant to engage in) tasks that require sustained mental effort? How was this during childhood? Adult: present, Child: present
- A1(g): Do you frequently lose things necessary for tasks or activities? How was this during childhood? Adult: present, Child: present
- A1(h): Are you often easily distracted by external stimuli? How was this during childhood? Adult: present, Child: present
- A1(i): Are you often forgetful in daily activities? How was this during childhood? Adult: present, Child: present
Total number of criteria met for Attention Deficit: Adult: 9/9, Child: 9/9
A2 - Symptoms of Hyperactivity and Impulsivity:
- A2(a): Do you often fidget with or tap your hands or feet, or do you often squirm in your seat? How was this during childhood? Adult: present, Child: present
- A2(b): Do you frequently leave your seat in situations where remaining seated is expected? How was this during childhood? Adult: present, Child: present
- A2(c): Do you often feel restless? How was this during childhood? Adult: present, Child: present
- A2(d): Do you often find it difficult to engage in leisure activities quietly? How was this during childhood (in play activities)? Adult: present, Child: present
- A2(e): Are you often “on the go” or do you act as if “driven by a motor”? How was this during childhood? Adult: present, Child: present
- A2(f): Do you often talk excessively? How was this during childhood? Adult: present, Child: present
- A2(g): Do you frequently blurt out answers before questions have been completed? How was this during childhood? Adult: present, Child: present
- A2(h): Do you often find it hard to wait your turn? How was this during childhood? Adult: present, Child: present
- A2(i): Do you frequently interrupt or intrude on others? How was this during childhood? Adult: present, Child: present
Total number of criteria met for Hyperactivity/Impulsivity: Adult: 9/9, Child: 9/9
B. Several inattentive or hyperactive-impulsive symptoms were present before the age of 12 years: Yes
C. Several inattentive or hyperactive-impulsive symptoms are present in two or more settings: Yes
- Work/Education: The patient has difficulty maintaining focus and completing tasks in both academic and professional environments, often needing extra time to finish assignments.
- Relationships and Family: The patient struggles to maintain romantic relationships and often requires structured support from family members.
- Social Contacts: The patient finds it challenging to form and sustain friendships, often feeling socially exhausted and showing low self-assertiveness.
- Free Time/Hobbies: The patient has difficulty relaxing and often loses interest quickly in hobbies, finding it hard to engage in leisure activities like reading or watching films.
- Self-Confidence and Self-Image: The patient experiences low self-esteem and is overly sensitive to criticism, which were also present during childhood.
D. There is clear evidence that the symptoms interfere with or diminish the quality of social, academic, or occupational functioning: Yes
E. The symptoms do not occur exclusively during the course of schizophrenia or another psychotic disorder and are not better explained by another mental disorder (e.g., mood disorder, anxiety disorder, dissociative disorder, personality disorder, substance intoxication or withdrawal): Yes