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Do Boys Show More Hyperactivity Than Girls? 

Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, boys vs girls ADHD hyperactivity often presents differently, with boys typically exhibiting more overt hyperactivity and impulsivity. While both boys and girls can have ADHD, gender differences in the way symptoms manifest can lead to disparities in diagnosis and treatment. Boys are more likely to display behaviours such as excessive movement, fidgeting, or interrupting others, which makes ADHD easier to recognise in childhood. Girls, however, tend to show inattentive-type ADHD, which may be less noticeable, as their symptoms are often more internalised. 

ADHD Hyperactivity in Boys vs Girls 

Here’s how ADHD hyperactivity differs in boys vs girls:  

Boys and Hyperactivity  

Boys with ADHD are more likely to exhibit hyperactive behaviours, such as running around, being unable to sit still, and making impulsive decisions. These physical, visible signs of hyperactivity are often more disruptive in classroom settings, making boys more likely to be identified and diagnosed early. These behavioural traits typically attract attention from teachers and parents, which can lead to an earlier intervention. 

Girls and Inattentive ADHD  

In contrast, girls with ADHD are more likely to exhibit symptoms of inattention, such as daydreaming, forgetfulness, and disorganisation, rather than the hyperactivity seen in boys. Because girls are less disruptive, their ADHD symptoms are often overlooked or misattributed to other factors, such as shyness or anxiety. 

Gender Differences in Diagnosis 

Due to these gender differences in symptom presentation, boys are more often diagnosed with ADHD at an earlier age. Girls, especially those with inattentive-type ADHD, may not be diagnosed until later in life, often after struggles in school or adulthood. 

In conclusion, recognising boys vs girls ADHD hyperactivity is crucial for ensuring both genders receive timely and appropriate care. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Signs, Symptoms, and Self-identification of ADHD.  

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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.