Hyperactivity
“My mind feels like it is always switched on, trying to get mutiple things done.”
Hyperactivity is one of the core symptom domains of ADHD, but in adults it often looks very different from the stereotypical childhood picture of constant movement. Instead of obvious physical restlessness, many adults experience internal hyperactivity — a sense of mental pressure, urgency, or being “switched on” all the time.
Hyperactivity in adulthood is subtle, often misunderstood, and frequently overlooked. Yet it remains a clinically recognised feature of ADHD, and it plays a significant role in how adults experience energy, focus, and emotional regulation.
Common signs:
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Feeling unable to relax, even during downtime
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Constantly multitasking or staying busy
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Talking quickly or excessively
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Feeling “revved up” or overstimulated
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Difficulty winding down at night
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Restlessness during quiet or passive activities
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A sense of urgency, even when nothing is urgent
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Moving or fidgeting without noticing
These experiences can affect work, relationships, and wellbeing, especially when misunderstood by others.
Why it happens
ADHD affects the brain’s executive functioning — the system that manages planning, prioritising, and sustaining focus.
Why it matters
Hyperactivity can influence:
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Sleep quality
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Stress levels
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Emotional regulation
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Productivity and pacing
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Social interactions
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Physical health
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Burnout risk
Understanding hyperactivity helps adults recognise patterns that may have been mislabelled as anxiety, restlessness, or personality traits.
Understanding ADHD in Adults
ADHD (Attention‑Deficit/Hyperactivity Disorder) is a neurodevelopmental condition that affects how the brain manages attention, motivation, planning, and self‑regulation. Although often associated with childhood, ADHD commonly continues into adulthood — many people reach their 20s, 30s, 40s or later before recognising the lifelong patterns that ADHD can create.
ADHD is not a problem with intelligence or effort. It reflects differences in brain development and functioning, particularly in the networks responsible for executive functioning (planning, organising, prioritising), working memory, and emotional regulation. These differences can influence daily life in subtle or significant ways, depending on the individual.
The three types of ADHD
Clinically, ADHD is grouped into three presentations. These describe the pattern of symptoms a person experiences:
1. Predominantly Inattentive
Characterised by difficulties with focus, organisation, follow‑through, and working memory.
2. Predominantly Hyperactive/Impulsive
Involves restlessness, impulsive actions or decisions, and difficulty slowing down.
3. Combined Presentation
A mix of both inattentive and hyperactive/impulsive features. These presentations can shift over time as life demands change.
Management and support
ADHD is highly manageable, and many adults thrive once they understand how their brain works. Effective support often includes:
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Education and self‑understanding Recognising ADHD patterns can reduce shame and increase confidence.
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Lifestyle and behavioural strategies Tools for organisation, time‑management, emotional regulation, and reducing overwhelm.
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Psychological support Therapy can help with coping skills, self‑esteem, and managing stress.
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Medication (when appropriate) Some people benefit from medication as part of a broader treatment plan. Decisions about medication are made with medical health professional like a Psychiatrist or Mental Health GP.
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Environmental adjustments Small changes at home or work can significantly improve daily functioning.
Management is always personalised — there is no one‑size‑fits‑all approach.
Why assessment matters
For many adults, an ADHD assessment provides clarity, validation, and a roadmap for moving forward. Understanding your neurodevelopmental profile can help you make sense of lifelong patterns and access the right support.