DIVA-5 Diagnostic Interview Workspace

Adult ADHD Diagnostic Interview (3rd Edition)

Patient Demographics

Part 1: Symptoms of Attention-Deficit (Criterion A1)

A1. Careless mistakes / fails to give close attention to details
A2. Difficulty sustaining attention in tasks or play activities
A3. Does not seem to listen when spoken to directly
A4. Fails to follow through on instructions or finish tasks/duties
A5. Difficulty organizing tasks, schedules, and daily activities
A6. Avoids or dislikes tasks requiring sustained mental effort
A7. Loses items necessary for essential tasks or operational activities
A8. Easily distracted by extraneous environmental or internal stimuli
A9. Forgetful in daily baseline tasks and routing activities

Part 2: Symptoms of Hyperactivity-Impulsivity (Criterion A2)

H/I 1. Fidgets with or taps hands/feet, or squirms in seat
H/I 2. Leaves seat in situations where remaining seated is expected
H/I 3. Experiences inner restlessness / runs or climbs inappropriately
H/I 4. Difficulty engaging in leisure or play activities quietly
H/I 5. Always 'on the go', acting as if driven by an internal motor
H/I 6. Talks excessively across personal or professional settings
H/I 7. Blurts out answers before questions have been completed
H/I 8. Demonstrates marked difficulty awaiting their turn
H/I 9. Interrupts conversations or intrudes on others' environments

Part 3: Age of Onset & Impairment (Criteria B, C, & D)

Part 4: Collateral Support & Diagnostic Integrity

Collateral Information Support (0 = None, 1 = Some, 2 = Clear)

Informant Source Support Level Rating
Parents / Brother / Sister / Relatives
Partner / Good Friend / Other
School Reports

Page 18 & 19 Diagnostic Score Formulation

DSM-5 ADHD Domain Tally Adulthood (Threshold: ≥5) Childhood (Threshold: ≥6)
Total Attention Deficit (A1) Score 0 / 9 0 / 9
Total Hyperactivity-Impulsivity (A2) Score 0 / 9 0 / 9
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