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ADHD Evaluation An evaluation is needed to determine whether a person has ADHD. A diagnosis is made according to the signs that first appeared before 12 years of age and can be a significant hindrance to school, work, or social situations. Rating scales are commonly used instruments 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 confirmed to be valid. Symptoms Many children are fidgety, impulsive and are unable to wait for t