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ADHD Evaluation An evaluation is required to determine whether a person has ADHD. The diagnosis is based on symptoms that started before 12 years of age and can be a significant hindrance to work, school or social situations. Rating scales are widely used instruments for assessing ADHD. The CAARS-L-S is a self rating instrument with established validity. The observer version of CAARS-L:O has also been proven to be valid. Symptoms Many children have difficulty sitting still or waitin