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ADHD Evaluation To determine if a person is ADHD, an evaluation is required. A diagnosis is determined by the presence of symptoms that began prior to age 12 and continue to interfere with work, school or social interactions. Rating scales are often used to assess ADHD. The CAARS-L-S is a self-rating instrument with established validity. The version for observers (CAARS-L O) also has a high degree of validity. Symptoms Many children are fidgety, impulsive and have difficu