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What Are the Core Symptoms of Hyperactivity in ADHD? 

Core hyperactivity symptoms in ADHD include behaviours such as impulsivity, fidgeting, and restlessness, which are typically characterised by a constant need for movement and difficulty staying still. These symptoms can interfere with daily life, affecting a child’s ability to focus, follow instructions, or engage in calm activities. Hyperactivity in ADHD is one of the primary symptoms and often manifests in various ways, particularly in social and academic settings, where sitting still and focusing for extended periods is required. 

The Role of Hyperactivity in ADHD 

Hyperactivity is often seen alongside other ADHD symptoms, such as impulsivity and inattention, contributing to challenges in regulating emotions and behaviour. The core hyperactivity symptoms of ADHD are most evident in children but can continue into adulthood, often appearing in different ways. Although hyperactive behaviours may be less visible in adults, symptoms such as restlessness and difficulty focusing often remain and can affect work, relationships, and daily life.  

How Core Hyperactivity Symptoms Manifest in ADHD 

This is how the core hyperactivity symptoms typically appear in individuals with ADHD: 

Impulsivity and Acting Without Thinking

A key symptom of hyperactivity in ADHD is impulsivity, the tendency to act without thinking about the consequences. This can include interrupting conversations, making abrupt decisions, or having difficulty waiting for one’s turn. This can lead to social challenges, misunderstandings, and problems in structured environments like school or work. 

Fidgeting and Inability to Stay Still 

Children and adults with ADHD often experience fidgeting and may have difficulty remaining seated in situations that require it, such as in class, meetings, or at the dinner table. They may tap their feet, twirl pens, or squirm in their seats. This can lead to difficulties in completing tasks, staying focused, and participating in quiet activities, which may disrupt social interactions and academic performance. 

Restlessness and Excessive Movement

Restlessness is a common symptom of hyperactivity, where the individual feels a constant need to move or be active. This can manifest as pacing, walking around, or engaging in repetitive motions. It is challenging for individuals with ADHD to relax, complete sedentary tasks, or engage in activities that require calmness, like reading or sitting through a meeting. 

For personal consultations on managing core hyperactivity symptoms in ADHD, visit providers like ADHD Certify. For a deeper dive into the connection between impulsivity, fidgeting, and restlessness in ADHD, read our complete guide Hyperactivity.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.