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ADHD Evaluation To determine if someone is ADHD, an evaluation is needed. A diagnosis is based on the presence of symptoms that started prior to age 12 and continue to hinder school, work or social interactions. Rating scales are often used to measure ADHD. The CAARS-L: S self-rating instrument has proven validity. The observer version (CAARS-L: O) also has good validity. Symptoms Many children are fidgety, impulsive and have difficulty waiting their turn. If these issues i