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How to Get an ADHD Diagnosis Your doctor will ask you about your symptoms and then use an assessment system to determine an ADHD diagnosis. The ratings are based upon established guidelines for diagnosing ADHD among teenagers, children and adults. The rating scale will ask you questions such as whether you fidget, or how often you get distracted by unrelated thoughts. The doctor will also go over old school records and your family history. Self-assessment Untreated symptoms of ADHD can lead to problems at work, school, and in relationships