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ADHD Evaluation An evaluation is required to determine whether a person has ADHD. The diagnosis is based on symptoms that started before the age of 12 and cause significant disruption to work, school, or social situations. Rating scales are often used to assess ADHD. The CAARS-L: S self-rating instrument has established validity. The observer version of the CAARS:L:O has been found to be valid. Symptoms Many children have trouble sitting still or waiting their turn, are anxious and act impulsively. When a child has these issues to the point that the