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Getting Diagnosed With ADHD Many people don't know they have ADHD until adulthood. It can be a challenge to diagnose. It could be a matter of asking questions about childhood behavior and an evaluation of psychological factors. To establish a diagnosis a mental health provider will examine a person's present symptoms and their history--including past illnesses and relationships. The clinician will also interview teachers and parents and ask the patient to rate his or her symptoms on a scale.