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ADHD Evaluation To determine if someone is ADHD, a thorough assessment is required. A diagnosis is made according to the signs that first appeared before 12 years of age and can be a significant hindrance to work, school, or social situations. Rating scales are frequently used to measure ADHD. The CAARS-L:S is a self-rating instrument with proven validity. The version that is a observer (CAARS-L O) also has good validity. Symptoms Many children have trouble sitting still or waiti