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ADHD Evaluation To determine if a person is ADHD, an evaluation is needed. A diagnosis is made based on symptoms that started before the age of 12 and cause significant disruption to work, school, or social situations. Rating scales are frequently used to measure ADHD. The CAARS-L-S is a self rating instrument that has been proven to be valid. The version that is a observer (CAARS-L: O) also has good validity. Signs and symptoms Many children are impulsive, fidgety and struggle to wait their turn. When a child has these issues to the point that