How Does Hyperactivity Manifest Differently in Girls? 

Hyperactivity in girls with ADHD often looks very different compared to boys. While boys with ADHD tend to show more overt signs of hyperactivity, such as excessive talking, fidgeting, or running around, hyperactivity in girls with ADHD is often subtler, making it harder to identify. This can lead to delayed or missed diagnoses, as the signs of hyperactivity in girls don’t always fit the typical ADHD profile. 

How Hyperactivity Manifests in Girls with ADHD 

Several factors contribute to the unique way hyperactivity in girls with ADHD presents: 

Quiet hyperactivity 

While boys with ADHD often display overtly energetic behaviours, such as fidgeting or impulsivity, girls are more likely to show quiet hyperactivity. This might include things like inner restlessness, difficulty staying seated, or an overwhelming sense of needing to move but not being able to express it outwardly. Girls may also experience mental “fidgeting,” where they feel constantly on edge but don’t exhibit the physical signs of hyperactivity typically seen in boys. 

Movement differences 

Girls with ADHD often demonstrate movement differences that are less obvious than those in boys. For example, while boys may engage in loud or disruptive behaviours like interrupting or bouncing off the walls, girls may express their hyperactivity through subtle behaviours, like tapping their feet, doodling, or twirling their hair. These movements may go unnoticed because they are not disruptive to the classroom or social settings in the same way as the more physical behaviours seen in boys. 

Social expectations and masking 

Social expectations often encourage girls to be more reserved and controlled, which may cause them to mask their hyperactivity. This leads to girls learning to suppress their need for movement, making their hyperactivity less visible to others. Over time, girls may internalise their restless energy and feel as though they are not “doing enough,” leading to frustration, anxiety, and feelings of inadequacy. 

Internalisation of symptoms 

 Girls may also internalise their hyperactivity, which means their struggles with restlessness, irritability, and impulsivity may manifest more emotionally rather than physically. As a result, hyperactivity in girls with ADHD may be misinterpreted as anxiety or mood disorders, further complicating diagnosis and treatment. 

The Impact of Subtle Hyperactivity in Girls 

Hyperactivity in girls with ADHD can lead to challenges in both academic and social environments. Because the signs are more subtle, girls may not receive the support they need, leading to underachievement, social isolation, or feelings of failure. The quiet hyperactivity may also contribute to emotional difficulties, such as anxiety or depression, as girls struggle to manage their internalised restlessness. 

Recognising the unique ways hyperactivity in girls with ADHD manifests is essential for early diagnosis and appropriate treatment. 

Visit providers like ADHD Certify for personal consultations and support tailored to girls experiencing ADHD-related hyperactivity. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Late diagnosis and gender differences.