How Does Hyperactivity Present in ADHD Combined Type? 

ADHD symptoms vary significantly, and in Combined Type of ADHD, hyperactivity plays a major role. Often misunderstood as just “excess energy”, hyperactivity may also be verbal, emotional, or mental in nature. It is more about how the brain and body respond to internal restlessness than just physical movement. Understanding this aspect helps develop better support plans for both children and adults and contributes to a more accurate ADHD diagnosis. 

What Is Hyperactivity in ADHD? 

Hyperactivity refers to excessive activity such as talking too much, constant movement, or feeling mentally overstimulated. It may be visibly noticeable or internally draining. In classrooms, it may appear blurting out answers or fidgeting in one’s seat (1) At home, it might look like constant movement or speaking in rapid bursts. In work settings, common signs include difficulty staying seated or pacing during meetings or calls. These ADHD symptoms appear in the Combined type alongside inattention, forming a clearer overall picture for ADHD diagnosis. 

Common Hyperactive Traits in Combined Type 

• Fidgeting, squirming, or tapping hands and feet 

• Interrupting others or speaking rapidly without pause 

• Difficulty sitting still during meals, lessons, or meetings 

• Acting before thinking things through 

• Feeling constantly on the move or unable to unwind 

Supporting Hyperactivity in Daily Life 

Hyperactivity is not a flaw; it is simply how some brains are naturally wired. Recognising this trait helps identify strategies that better suit an individual’s needs. Cognitive Behavioural Therapy (CBT) promotes self-awareness and self-management. Classroom Strategies such as movement breaks and flexible seating can help children stay engaged in the classroom. Consistent school support and tailored adjustments can also make a significant difference.  People with ADHD symptoms can use their energy as strength if they have the correct knowledge and resources. A successful ADHD diagnosis journey relies on early understanding and personalised support.