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ADHD Evaluation To determine if someone is ADHD, a thorough evaluation is needed. The diagnosis is by analyzing the symptoms that began before the age of 12 and interfere significantly with school, work or social situations. Rating scales are frequently used as instruments to assess ADHD. The CAARS-L-S is a self-rating instrument with established validity. The observer version (CAARS-L: O) also has good validity. Signs and symptoms Many children struggle to sit still or waiting their turn, are anxious and impulsively a