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ADHD Evaluation To determine if a person is ADHD an assessment 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 often used to assess ADHD. The CAARS-L-S is a self rating instrument that has proven validity. The observer version of the CAARS:L:O has also been proven to be valid. Symptoms Many children are impulsive, fidgety or struggle to wait their turn. If a child experiences these issues to the point that they hi