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ADHD Evaluation To determine if someone is ADHD an evaluation is required. A diagnosis is made by analyzing the symptoms that began before 12 years of age and can be a significant hindrance to work, school, or social situations. Rating scales are often used to measure ADHD. The CAARS-L-S is a self-rating instrument with established validity. The version that is a observer (CAARS-L: O) also has good validity. Signs and symptoms Many children struggle to sit still or waiting for their turn, are fidgety and behave impuls