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ADHD Evaluation An evaluation is required to determine whether a person is suffering from ADHD. A diagnosis is dependent on the existence of symptoms that begin before age 12 and significantly affect school, work or social situations. Rating scales are commonly used instruments to assess ADHD. The CAARS-L-S is a self-rating instrument with established validity. The version that is a observer (CAARS-L O) also has good validity. Signs and symptoms Many children are impulsive, fidgety and struggle to wait their turn. If these problems interfere with a