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ADHD Evaluation To determine if a person is ADHD an evaluation is required. A diagnosis is based on the presence of symptoms that began prior to age 12 and continue to affect school, work or social situations. Rating scales are widely used instruments to assess ADHD. The CAARS-L-S is an self-rating instrument that has been proven to be valid. The observer version (CAARS-L O) also has a high degree of validity. Symptoms Many children have difficulty