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ADHD Evaluation To determine if someone is ADHD, an evaluation is required. The diagnosis is based on symptoms that started before 12 years of age and can be a significant hindrance to school, work or social interactions. Rating scales are commonly used instruments to assess ADHD. The CAARS-L: S self-rating instrument has proven validity. The observer version (CAARS-L: O) also has good validity. Symptoms Many children have difficulty sitting still or waiting their turn, are anxiou