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ADHD Evaluation To determine if someone is ADHD, an assessment is required. A diagnosis is dependent on the existence of symptoms that begin at the age of 12 and that significantly affect school, work or social interactions. Rating scales are widely used instruments for assessing ADHD. The CAARS-L-S is a self-rating instrument that has been proven to be valid. The observer version of the CAARS-L:O has been found to be valid. Signs and symptoms Many children have trouble sitting still or waiting their turn, are fidgety and impulsively act. If these p