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What Are the Signs of ADHD? A good hook is one that draws the reader into the story and makes them excited about the topic of your essay. It's usually the first paragraph of your essay. The criteria for the diagnosis of ADHD is the presence of symptoms that begin in childhood (before age 12) and create difficulties in more than one setting, such as school, home or at work. Symptoms also must be ongoing. 1. Inattentiveness The most frequent symptoms of ADHD are inattention and trouble staying focused