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How to Diagnose ADHD Clinicians use clinical interviews as well as behavior ratings scales checklists for symptoms filled out by the patient, and other people in their lives, as well as medical history and psychiatric histories to diagnose ADHD. Psychotherapy can also be utilized to manage symptoms. You must have six symptoms that started before 12 years old and impacted your daily activities in two different locations (home and school, or work and social settings) to be diagnosed with ADHD. It is important to get the