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ADHD Evaluation A thorough evaluation is required to determine whether a person is suffering from ADHD. A diagnosis is determined by the existence of symptoms that begin prior to age 12 and continue to affect school, work or social situations. Rating scales are commonly employed to evaluate ADHD. The CAARS-L-S is a self rating instrument that has proven validity. The observer version of the CAARS:L:O has been found to be valid. Symptoms Many children struggle to sit s