Are There Different Types of Hyperactivity in ADHD? 

Yes, there are different types of hyperactivity in ADHD, each varying in intensity and manifestation. Hyperactivity is one of the key symptoms of ADHD, but it does not look the same for everyone. While some people may exhibit constant movement and impulsive behaviours, others may show more subtle signs of hyperactive traits, such as restlessness or difficulty staying focused. Understanding the ADHD subtypes associated with hyperactivity can help in identifying specific behaviours and tailoring appropriate interventions to manage symptoms effectively. 

The Types of Hyperactivity in ADHD 

Hyperactivity in ADHD can present itself in a variety of ways, depending on the individual. It generally falls into two broad categories, motor activity hyperactivity, which involves physical restlessness, and more internalised hyperactivity, where the person feels restless but does not necessarily display constant movement. These two types can manifest differently, especially as individuals age or as the condition presents in different environments like school, work, or social situations. 

How Hyperactivity Appears in Different ADHD Subtypes 

This is how types of hyperactivity in ADHD can vary: 

Motor Activity Hyperactivity (External Hyperactivity)

This type of hyperactivity involves physical movement and outward signs of restlessness. Individuals may be seen fidgeting, pacing, or constantly moving. It is most common in children who may struggle to sit still in class or at home. Hyperactive traits like running, jumping, and fidgeting are the hallmark signs. This can lead to disruptions in structured settings, such as classrooms or meetings. 

Internalised Hyperactivity (Mental Restlessness)

In adults or older children, hyperactivity can become more internalised, with individuals experiencing restlessness or racing thoughts without overt physical movement. This form of hyperactivity may be less noticeable but still impacts the person’s ability to focus and regulate their emotions. People may report feeling mentally “on edge” or overwhelmed by constant thoughts, leading to difficulty concentrating on tasks, and an inability to relax or calm down. 

Hyperactivity and ADHD Subtypes 

ADHD is generally classified into three subtypes, each presenting different hyperactive traits: 

Combined Type ADHD 

This subtype includes both hyperactivity and inattention. Individuals may display physical restlessness, impulsivity, and issues with focus. They may show signs of motor activity hyperactivity, constantly fidgeting, moving, or interrupting others while struggling to stay focused on tasks. 

Inattentive Type ADHD (without significant hyperactivity) 

Though inattention is the dominant trait, some individuals may still experience mild hyperactivity or restlessness. However, it tends to be less pronounced than in the combined subtype.  Here, hyperactivity is more likely to be internalised, with feelings of mental restlessness rather than outward, physical signs of hyperactivity. 

Hyperactive-Impulsive Type ADHD

This subtype involves predominantly hyperactivity and impulsivity with less focus on inattention. Individuals often exhibit motor activity hyperactivity. Typical behaviours include talking excessively, fidgeting, and difficulty remaining seated, alongside impulsive actions. 

Managing Different Types of Hyperactivities in ADHD 

Understanding the types of hyperactivities in ADHD is essential for managing symptoms. Interventions can include behavioural therapy, medication, and lifestyle changes tailored to the individual’s specific needs. For motor hyperactivity, physical activities and movement-based strategies can help, while for internalised hyperactivity, relaxation techniques and mindfulness practices can be beneficial. 

For personal consultations on types of hyperactivity in ADHD, visit providers like ADHD Certify. For a deeper dive into hyperactive traits, ADHD subtypes, and effective interventions, read our complete guide Hyperactivity.