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ADHD Evaluation An evaluation is required to determine if a person is suffering from ADHD. A diagnosis is made by analyzing the symptoms that began before 12 years of age and cause significant disruption to school, work, or social situations. Rating scales are commonly used instruments for assessing ADHD. The CAARS-L-S is a self-rating instrument that has proven validity. The version for observers (CAARS-L O) also has good validity. Signs and symptoms Many children are impulsive, fidgety or have difficulty waiting their turn. If a child i