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ADHD Evaluation An evaluation is needed to determine if someone has ADHD. The diagnosis is according to the signs that first appeared before 12 years of age and cause significant disruption to work, school or social interactions. Rating scales are commonly used instruments for assessing ADHD. The CAARS-L-S is a self rating instrument with established validity. The observer version of the CAARS-L:O has been found to be valid. Symptoms Many children are impulsive, fidgety or struggle to wait their