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ADHD Evaluation An evaluation is required to determine whether a person has ADHD. A diagnosis is determined by the presence of symptoms that started at the age of 12 and that significantly hinder school, work or social situations. Rating scales are frequently employed to evaluate ADHD. The CAARS-L-S is a self-rating instrument that has been proven to be valid. The observer version of CAARS-L:O has also been confirmed to be valid. Signs and symptoms Many children have difficulty sitting still or waitin