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Can hyperactivity be misdiagnosed as another condition? 

ADHD misdiagnosis is fairly common, particularly when hyperactivity is the primary symptom. Many other conditions, including anxiety and sensory processing issues, can resemble hyperactive behaviour leading to hyperactive confusion during diagnosis. These diagnostic challenges make thorough evaluation crucial for ensuring the right support and treatment. Understanding how to distinguish ADHD from other disorders helps avoid unnecessary frustration and inappropriate interventions. 

Why Hyperactivity is Sometimes Misdiagnosed 

This is how ADHD misdiagnosis can happen: 

Overlap with other conditions 

Anxiety, autism spectrum disorder, and even sleep problems can lead to restlessness or impulsive behaviour, creating hyperactivity confusion. 

Cultural and environmental factors 

Different expectations of behaviour at home or school may lead to premature or incorrect labels, adding to the diagnostic challenges. 

Incomplete assessment 

Relying on one observation or a single questionnaire instead of a full, multi-step evaluation can increase the risk of ADHD misdiagnosis. 

Masked symptoms in some cases 

 In contrast, some children and adults with ADHD may not appear hyperactive, which can lead to a missed diagnosis entirely. 

Getting a clear and accurate diagnosis takes time, expertise, and a holistic approach. Visit providers like ADHD Certify for personal consultations and guidance on navigating diagnostic challenges and avoiding hyperactivity confusion.

For a deeper dive into the science, diagnosis, and full treatment landscape, 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.