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How to Diagnose ADHD To determine ADHD the professionals use clinical interviews as well as behavior rating scales, symptoms checklists that are completed by the patient and others in his or her life, as well as psychiatric history and medical history. Psychotherapy is also used to treat symptoms. You must have six symptoms that first appeared before 12 years old and affected your daily activities in two different places (home and school or at work and social settings) to be diagnosed with ADHD.