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ADHD Evaluation An evaluation is required to determine if someone has ADHD. The diagnosis is according to the signs that first appeared before 12 years of age and can be a significant hindrance to school, work or social interactions. Rating scales are commonly used to measure ADHD. The CAARS-L:S self-rating instrument has established validity. The version for observers (CAARS-L: O) also has good validity. Signs and symptoms Many children are impulsive, fidgety and are unable to wait for their turn. If these issues inter