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How to Get an Accurate Assessment of ADHD Many adults who undergo an ADHD assessment might exaggerate their symptoms or even make them appear. According to several studies (Marshall and. and., Citation2016, Suhr, et. al., Citation2008), about 27% of adults who undergo an exhaustive ADHD assessment show no evidence of ADHD. Self-report ADHD behavior ratings have a high sensitivity but have low specificity. Combining clinical interview data with neuropsychological testing and/or performance based measures is a more robust approach.