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ADHD Evaluation An evaluation is needed to determine if someone is suffering from ADHD. The diagnosis is by analyzing the symptoms that began before 12 years of age and can be a significant hindrance to school, work or social interactions. Rating are widely used instruments for assessing 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 confirmed to be valid. Symptoms Many children struggle to sit still or wait