How does the DSM-5 define hyperactivity in ADHD?

PostedAugust 22, 2025

UpdatedSeptember 5, 2025

ByMy Patient Advice

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

The DSM-5 ADHD criteria provide the official framework for diagnosing attention deficit hyperactivity disorder. Its detailed hyperactivity definition helps clinicians distinguish between everyday high energy and clinically significant symptoms. By using standardised diagnostic criteria, the DSM-5 ensures consistency and accuracy across evaluations.

According to the DSM-5, hyperactivity involves more than just being active. It refers to persistent, developmentally inappropriate levels of movement and restlessness that interfere with functioning in at least two settings, such as home and school, or work. This ensures that the diagnosis reflects a pervasive and impairing pattern rather than situational behaviour.

Key DSM-5 Hyperactivity Criteria

Below are some specific indicators outlined in the DSM-5 ADHD guidelines, along with ways they can be managed:

Fidgeting or Squirming

The person is often unable to stay seated and displays constant movement. Behavioural strategies and CBT can help improve self-control and tolerance for stillness.

Leaving Seat Inappropriately

Getting up when expected to remain seated, such as during lessons or meetings. Classroom or workplace accommodations, combined with medication, can reduce this behaviour.

Running or Climbing Excessively

In children, this often manifests as inappropriate physical activity; in adults, it may feel like inner restlessness. Mindfulness practices and exercise programmes can help use this energy in a positive and productive way.

By applying these standard diagnostic criteria, clinicians can provide targeted support and reduce the impact of symptoms. Visit providers like ADHD Certify for personal consultations and guidance.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Hyperactivity.

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

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.