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ADHD Evaluation To determine if someone is ADHD, a thorough evaluation is required. A diagnosis is based on the presence of symptoms that started before age 12 and significantly interfere with work, school or social situations. Rating scales are frequently used as instruments for assessing ADHD. The CAARS-L-S is an self-rating instrument that has proven validity. The observer version of the CAARS:L:O has also been confirmed to be valid. Symptoms Many children struggle to sit still or waiting for their turn, a