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How to Get an ADHD Diagnosis To establish an ADHD diagnosis the healthcare professional will ask you questions about your symptoms and use a rating scale. The ratings are based on a set of guidelines to diagnose ADHD in children, teens and adults. The rating scale will ask you questions like if you fumble and how often you are distracted by thoughts that are not related to your current situation. The doctor will also look over the old school records as well as your family history. Self-assessment Inadeq