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Symptoms and Diagnosis of ADHD Adults are usually not diagnosed until they are experiencing serious issues at home, work or at school. Health professionals follow the diagnostic criteria in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision (DSM-5). A full evaluation includes ADHD symptom checklists and standardized behavior rating scales. Health care professionals also inquire about family history and review old school records. Symptoms ADHD symptoms can have a negativ