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ADHD Evaluation A thorough evaluation is required to determine if a person has ADHD. A diagnosis is made by analyzing the symptoms that began before 12 years of age and cause significant disruption to work, school or social situations. Rating scales are frequently used as instruments to assess ADHD. The CAARS-L: S self-rating instrument has proven validity. The version that is a observer (CAARS-L O) also has good validity. Signs and symptoms Many children struggle to sit still or waiting their turn, are fidgety and ac