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What Causes Hyperactivity in ADHD? 

The causes of hyperactivity in ADHD are complex and involve a combination of genetic, neurological, and environmental factors. Hyperactivity in ADHD is largely linked to irregularities in brain function, particularly in areas responsible for impulse control, attention, and behaviour regulation. Additionally, the brain’s neurotransmitters, such as dopamine, play a significant role in the manifestation of hyperactivity. Understanding these underlying causes is crucial for developing effective treatments and interventions for managing ADHD symptoms. 

The Role of Brain Function in Hyperactivity 

In individuals with ADHD, certain regions of the brain, particularly the prefrontal cortex, which is responsible for decision-making and impulse control, may not function efficiently. This leads to challenges in regulating energy, focus, and behaviour. Hyperactivity is often a result of the brain’s difficulty in managing this excess energy and controlling impulses, which can cause individuals to engage in constant movement, fidgeting, or impulsive actions. These behaviours are not intentional but rather a result of neurological differences in brain function. 

How Dopamine Affects Hyperactivity in ADHD 

Dopamine, a neurotransmitter that helps regulate mood, attention, and reward processing, is significantly involved in the causes of hyperactivity in ADHD. In individuals with ADHD, dopamine production or signalling may be impaired, leading to difficulties in maintaining focus and controlling impulsive behaviours. The brain’s inability to efficiently use dopamine can result in hyperactive behaviours, as individuals with ADHD seek external stimulation to compensate for the lack of internal regulation. This constant need for stimulation contributes to restlessness and the compulsion to act impulsively. 

The Genetic Link to Hyperactivity in ADHD 

Research suggests that genetics plays a major role in the development of ADHD and the manifestation of hyperactivity. ADHD tends to run in families, indicating a genetic predisposition. Specific genetic variations, especially those involving genes related to dopamine regulation, have been linked to the development of ADHD. These genetic factors influence how the brain processes dopamine and other neurotransmitters, contributing to the impulsivity and hyperactivity that are characteristic of the disorder. 

How Genetics, Brain Function, and Dopamine Work Together 

This is how the interplay between brain function, dopamine, and genetics influences hyperactivity in ADHD: 

Impaired Brain Function and Impulse Control

The prefrontal cortex, which is responsible for impulse control, often functions less efficiently in individuals with ADHD,leading to hyperactive behaviour and impulsive actions.  Without the brain’s typical regulation mechanisms, individuals with ADHD may engage in constant movement or impulsive behaviour as a way of coping with restlessness. 

Dopamine Imbalance 

Low levels or inefficient signalling of dopamine in the brain can make it difficult for individuals with ADHD to stay focused, control impulses, or feel satisfied with low-stimulation tasks. As a result, they may engage in overactivity or seek out high-stimulation environments to boost dopamine production, contributing to the hyperactivity seen in ADHD. 

Genetics and Family History 

The genetic component of ADHD explains why the condition often runs in families. Specific genetic variations related to dopamine transport and receptor activity have been identified as contributing factors. Children who inherit these genetic traits are more likely to display hyperactive behaviours due to a genetic predisposition to ADHD-related brain function. 

For personal consultations on the causes of hyperactivity in ADHD, visit providers like ADHD Certify. For a deeper dive into how brain function, dopamine, and genetics in ADHD contribute to hyperactivity, 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.