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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 before age 12 and significantly affect school, work or social interactions. Rating scales are frequently used to assess ADHD. The CAARS-L-S is an self-rating instrument that has proven validity. The version that is a observer (CAARS-L: O) also has a high degree of validity. Symptoms Many children are impulsive, fidgety or struggle to wait their turn. If a child experiences these issues to the point that t