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ADHD Evaluation An evaluation is needed to determine if someone has ADHD. A diagnosis is based on the presence of symptoms that started at the age of 12 and that significantly hinder school, work or social interactions. Rating scales are widely used tools for assessing ADHD. The CAARS-L: S self-rating scale has proven validity. The observer version of CAARS-L:O has also been proven to be valid. Symptoms Many children have difficulty sitting still or waiting for their turn, are anxious and impulsively act. If a child experiences these issues to the po