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Symptoms and Diagnosis of ADHD Many adults don't get diagnosed until their symptoms cause major problems at work, school or home. Health care professionals adhere to the diagnostic criteria in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5). A thorough evaluation will include ADHD symptoms and standardized behavior ratings scales. Health care professionals will inquire about the family's history and look at old school record