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How Does Hyperactivity Affect Social Interactions in Children with ADHD? 

The link between hyperactivity and social skills in children with ADHD is often underestimated. While hyperactive children are frequently outgoing and eager to engage with others, their impulsivity, restlessness, and difficulty reading social cues can lead to frequent peer problems. These behaviours may be misinterpreted as rudeness, immaturity, or even aggression, making it harder for them to form and maintain friendships. 

Why Social Skills Are Impacted by Hyperactivity 

Children with ADHD often struggle with the give-and-take required in social settings. Their hyperactivity can cause them to interrupt conversations, dominate play, or have trouble waiting their turn, all of which can irritate or cut off from peers. Over time, this pattern of behaviour can result in social challenges, such as being excluded from groups, experiencing rejection, or developing low self-esteem. 

Common Social Challenges Linked to Hyperactivity 

This is how hyperactivity and social skills are commonly affected in children with ADHD: 

Interrupting and Talking Over Others  

Hyperactive children may struggle to listen and wait during conversations, often blurting out or shifting topics abruptly. These interruptions can frustrate peers, making it hard for the child to sustain reciprocal conversations and deep connections. 

Difficulty Reading Social Cues

They may misread tone, body language, or facial expressions, leading to awkward or inappropriate responses.  This can lead to misunderstandings and reinforce friendship issues, particularly when peers begin to withdraw or avoid the child. 

Impulsive Behaviour During Play  

Rough play, rule-breaking, or refusing to share can create tension and conflict in group settings. Such behaviours can lead to the child being labelled as “difficult” or “disruptive,” which may make social inclusion more challenging in the future.  

Helping Children Build Social Skills 

Improving hyperactivity and social skills requires consistent support. Social skills training, behavioural therapy, and role-playing scenarios can help children learn how to interact more appropriately. Positive reinforcement and guided peer interactions also encourage progress. 

For personal consultations on managing hyperactivity and social skills, visit providers like ADHD Certify. For a deeper dive into addressing peer problems, overcoming social challenges, and resolving friendship issues, 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.