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How do brain structure and function impact hyperactivity in ADHD? 

The relationship between brain structure hyperactivity ADHD is essential to understanding why some individuals with ADHD seem to be constantly on the move. Hyperactivity is not just a behavioural quirk. It reflects deeper neurological differences. Researchers have found that specific brain regions behave differently in people with ADHD, which helps explain how hyperactivity causes ADHD symptoms to manifest in both children and adults. 

In people with ADHD, the prefrontal cortex, which plays a key role in decision-making and impulse control, may be underactive or slower to mature. Meanwhile, the basal ganglia and cerebellum, responsible for motor coordination and movement, may also show structural differences. These changes in brain structure hyperactivity ADHD patterns lead to restlessness, difficulty sitting still, and rapid or excessive talking. Understanding these patterns helps clarify how hyperactivity causes ADHD behaviours and how they differ from typical childhood energy. 

Common Symptoms of Hyperactivity 

These are common ways hyperactivity shows up in daily life, rooted in brain-based differences: 

Excessive movement or fidgeting

People with ADHD may tap their feet, get up frequently, or find it uncomfortable to stay seated. This is linked to irregularities in the cerebellum and basal ganglia. 

Speaking quickly or interrupting

This is often the result of an underactive prefrontal cortex, which normally helps manage self-regulation. 

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 Brain structure and Function

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

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.