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ADHD Evaluation A thorough evaluation is required to determine if a person has ADHD. A diagnosis is made by analyzing the symptoms that began before 12 years of age and cause significant disruption to school, work or social interactions. Rating scales are commonly used instruments for assessing ADHD. The CAARS-L: S is a self-rating instrument with proven validity. The version for observers (CAARS-L: O) also has good validity. Signs and symptoms Many children struggle to sit still or waiting for their turn, are anxious and behave impulsively. When a c