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ADHD Evaluation To determine if someone is ADHD an assessment is required. A diagnosis is based on the presence of symptoms that began prior to age 12 and continue to affect school, work or social interactions. Rating scales are often used to measure ADHD. The CAARS-L:S self-rating instrument has established validity. The version that is a observer (CAARS-L O) also has good validity. have trouble sitting still or waiting their turn, they are frenzi