Is Hyperactivity in Boys Pathologized More Often Than in Girls? 

There is growing recognition that hyperactivity in boys may be pathologized more frequently than in girls, largely due to gender stereotyping and behavioural expectations. ADHD is often associated with high-energy behaviour, which is more likely to be noticed and labelled as problematic in boys. However, when girls exhibit similar behaviours, they may be overlooked or misdiagnosed, especially if they express symptoms like inattention rather than hyperactivity. 

Gender Differences in ADHD Diagnosis 

Studies have shown that boys are more likely to be diagnosed with ADHD, particularly the hyperactive-impulsive subtype. This is partly because society often expects boys to exhibit active, energetic behaviours. When this behaviour becomes excessive, it is more likely to be viewed as a disorder in need of treatment. Conversely, girls with ADHD are more likely to display the inattentive subtype, which may be less noticeable and often misattributed to shyness or daydreaming. As a result, hyperactivity in girls may be overlooked or misunderstood, leading to underdiagnosis or delayed treatment. 

Behavioral Expectations and Stereotyping 

Gender norms contribute to this discrepancy. Boys are expected to be active and assertive, whereas girls are often expected to be more subdued and focused. This creates a bias in how behaviour is perceived.  Overly energetic boys may be pathologized more often because their behaviour deviates more sharply from the expected norm. On the other hand, girls’ behaviour may be seen as “normal” or attributed to personality traits like “introversion” or “shyness.” 

Conclusion 

Hyperactivity in boys tends to be pathologized more often due to societal behavioural expectations and gender stereotyping. This highlights the need for more gender-sensitive approaches to ADHD diagnosis and treatment. 

Visit providers like ADHD Certify for personal consultations to better understand how gender influences ADHD diagnosis.

For a deeper dive into ADHD diagnosis and treatment, read our complete guide to Mislabelling Behavioral Issues as ADHD.