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How to Get an ADHD Diagnosis Your healthcare professional will ask you questions about your symptoms and use an assessment system to determine an ADHD diagnosis. The ratings are based on a set of guidelines to diagnose ADHD in teens, children and adults. The rating scale asks questions such as whether you fidget or how often you are distracted with unrelated thoughts. The doctor will also review old school records and family history. Self-assessment The untreated symptoms of ADHD can lead to problems at work, school as well as in relationships.