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ADHD Evaluation To determine if a person is ADHD an evaluation is needed. A diagnosis is made by analyzing the symptoms that began before the age of 12 and cause significant disruption to school, work or social interactions. Rating scales are frequently used as tools for assessing ADHD. The CAARS-L-S is an self-rating instrument that has proven validity. The observer version (CAARS-L: O) also has good validity. Signs and symptoms Many children have difficulty sitting still or waiting for their tu