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Symptoms and Diagnosis of ADHD Many adults aren't diagnosed until their symptoms create major difficulties at school, at work 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 scales for assessing behavior. Health professionals inquire about the family's history, and review old school record