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What is Hyperactivity in ADHD? 

ADHD hyperactivity is a core symptom of attention deficit hyperactivity disorder (ADHD), characterised by excessive movement, impulsiveness, and difficulty staying seated or calm. Children and adults with ADHD often display hyperactivity through behaviours like fidgeting, restlessness, and an inability to remain seated for long periods. While ADHD symptoms vary from person to person, child hyperactivity tends to manifest in more noticeable ways, affecting their ability to focus, engage in quiet activities, or control their impulses. 

The Role of Hyperactivity in ADHD 

Hyperactivity in ADHD is more than just being overly energetic. It often involves a constant need to move, an inability to stay seated in environments where it is expected, and an overwhelming urge to act without thinking. This can lead to difficulties in school, social situations, and at home. The behaviour typically occurs alongside impulsivity, another key symptom of ADHD, making it challenging for individuals to regulate their actions and thoughts. 

How Hyperactivity and Impulsivity Manifest in ADHD 

The following are common ways that ADHD hyperactivity and its related behaviours manifest: 

Excessive Movement and Restlessness

Children with ADHD hyperactivity may be unable to sit still, fidgeting or squirming in their seats. They may constantly move around, even when it is inappropriate, like during class or at the dinner table.  This constant movement can interfere with learning and social interaction, making it difficult for the child to focus on tasks or engage in quiet activities. 

Impulsivity and Acting Without Thinking

Hyperactivity is often coupled with impulsivity, where children act quickly without considering the consequences of their actions. This can include interrupting others, speaking out of turn, or making abrupt decisions.  Impulsivity can cause behavioural problems and make it difficult for children to follow instructions or stay organised, adding to the challenges of living with ADHD.  

Difficulty With Quiet Activities

Children with ADHD hyperactivity may struggle with activities that require stillness, such as reading, drawing, or watching a movie, due to their need for constant movement and stimulation. This lack of ability to sit still or engage quietly can affect performance in both academic and social settings, as children with ADHD may appear disruptive or inattentive. 

For personal consultations on ADHD hyperactivity and how to manage it, visit providers like ADHD Certify For a deeper dive into ADHD symptoms, including impulsivity and child hyperactivity, 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.