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What Neurological Factors Contribute to Hyperactivity in ADHD? 

When we talk about ADHD causes, hyperactivity is one of the most noticeable symptoms. Its underlying causes are rooted deep within the brain. ADHD is not just a behavioural issue; it is a neurodevelopmental condition with distinct neurological underpinnings. Research has shown strong connections between the brain and ADHD, particularly in areas that conrol  attention, impulse control, and movement. 

Understanding the Role of Brain in ADHD Hyperactivity 

One of the most consistent findings in neuroscience is that individuals with ADHD often have differences in the structure and activity of certain brain regions, most notably the prefrontal cortex, basal ganglia, and cerebellum. These areas are responsible for regulating behaviour, focus, and motor activity, all of which are central to the experience of hyperactivity. 

Neurological Links Behind ADHD Hyperactivity 

This is how neurological links contribute to the hyperactive traits seen in ADHD: 

Dopamine Dysregulation

ADHD brains tend to have lower levels of dopamine, a key neurotransmitter involved in reward and motivation. This imbalance affects the brain’s ability to regulate activity levels, leading to impulsivity and hyperactive behaviour as the brain seeks stimulation. 

Underactive Prefrontal Cortex

 This region is critical for executive function, which includes decision-making, planning, and impulse control. Lower activity in this part of the brain can make it difficult to stay seated, resist impulses, and concentrating are all key features of hyperactivity.  

Delayed Brain Maturation

Some studies suggest that brain development in people with ADHD occurs more slowly, especially in areas related to self-regulation. This delay may explain why children, and even adults, with ADHD often behave in ways that appear younger than their actual age.  

Basal Ganglia and Motor Regulation

The basal ganglia help control movement and is often found to be smaller or less active in people with ADHD. These differences may contribute to fidgeting, pacing, and other motor signs of hyperactivity. 

Understanding these ADHD causes helps reframe the condition not as a lack of willpower, but as a brain-based challenge that requires targeted support. For personal consultations on the brain and ADHD, visit providers like ADHD Certify. For a deeper dive into neurological links, dopamine function, and the full spectrum of ADHD causes, 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.