ADHD Treatment Why Is My Child So Hyper? ADHD vs. High Energy By Keath Low Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. Learn about our editorial process Updated on January 09, 2023 Learn more." tabindex="0" data-inline-tooltip="true"> Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Ann-Louise T. Lockhart, PsyD, ABPP Medically reviewed by Ann-Louise T. Lockhart, PsyD, ABPP Ann-Louise T. Lockhart, PsyD, ABPP, is a board-certified pediatric psychologist, parent coach, author, speaker, and owner of A New Day Pediatric Psychology, PLLC. Learn about our Medical Review Board Print Curtis Kim / Getty Images Table of Contents View All Table of Contents Signs of ADHD ADHD vs. High Energy Other Explanations How to Help Your Child Close Many children with attention deficit hyperactivity disorder (ADHD) are very energetic. However, high energy alone is not enough to warrant a diagnosis. Children with some forms of ADHD are not high-energy at all. Primarily inattentive type ADHD, historically known as ADD, may manifest itself in low energy combined with inattentiveness and other symptoms. So when might a child with lots of energy be diagnosed with ADHD? To qualify for the diagnosis, a child must have a chronic, pervasive problem with their ability to regulate activity level and impairment in their ability to inhibit and control impulses. Impairment of functioning or learning is key to differentiating ADHD from normal activity. If a child has high energy but is able to behave and perform well at school, they likely do not have ADHD. Signs of ADHD Hyperactivity and the other primary characteristics of impulsivity, and inattention are just the tip of the iceberg for kids who have ADHD. There can be additional traits that may not be as obvious. For example, some signs of ADHD impact the following areas of development: Information Processing Children with ADHD often have difficulty processing information. With the hyperactive example, it may be that the individual has trouble slowing down enough to process information accurately. This can create problems in a classroom setting where students are expected to quickly and accurately make sense of and respond to instruction. Emotional Regulation Children with ADHD become frustrated and overwhelmed very easily and have trouble regulating their emotions. These symptoms can interfere with social relationships, leading to a sense of isolation and lowered self-esteem. Executive Function Children with ADHD usually struggle with executive function issues like organizing, planning, prioritizing, paying attention and remembering details. These issues can become problematic in a range of settings. Even in after-school sports, team members are expected to come prepared, remember what they were taught, and show up on time. Maturity Children with ADHD also tend to be less mature developmentally than their same-age peers. Thus, an 11-year-old with ADHD may think and behave more like a young child than like a rising teenager. This means that even as teens, kids with ADHD may lack the judgment they need to make good choices about friendships, risk-taking, and potentially harmful activities. ADHD Symptoms in Children Distinguishing ADHD From High Energy If your child is energetic and finds it hard to sit still, they may be displaying some of the signs of ADHD. But if they are also able to control their impulses and emotions, pay attention, and respond appropriately in school and at home, they are probably just an energetic individual, and not affected by ADHD. ADHD Unable to sit still Impulsive Difficulty controlling emotions Trouble paying attention High Energy Levels Restless Always busy Able to manage impulses Able to pay attention While the core symptoms that define ADHD can include hyperactivity, impulsivity, and inattention, not all kids (or adults) with ADHD will have these symptoms in the same way or to the same degree. You will undoubtedly see changes in how the characteristics manifest or present as they go through different stages of life. ADHD Combined Type Other Reasons Your Child Might Be Hyperactive ADHD might explain why your child is so hyperactive, but there are also other reasons why your child might be experiencing very high energy levels. Some other potential causes include: Mental health conditions: Some mental health conditions can affect activity and energy levels, including anxiety and bipolar disorder.Medical conditions: Certain medical conditions can also affect energy levels, including hyperthyroidism and nervous system disorders.Lack of activity: Insufficient physical activity can also lead to feelings of restlessness and high energy. Stress: Kids may also experience hyperactivity as a response to stress.Tiredness: Sometimes, kids may experience paradoxical bursts of high energy levels when tired. Kids with ADHD may also experience sleeping difficulties and fatigue, making regulating their emotions and behaviors more challenging. If your child is struggling with hyperactivity, talk to their doctor. Your child's pediatrician can evaluate their symptoms, rule out other conditions, make a diagnosis, and recommend treatments and coping strategies that can help. How to Help Kids Deal With High Energy Whether your child is experiencing hyperactivity stemming from ADHD or has very high energy levels, there are several strategies you can use to help them cope. Help kids know what is expected of them: Giving kids a sense of structure can help them better understand expectations and what they need to do at specific times throughout the day.Reduce distractions: Children who are hyperactive or high energy have a more challenging time staying on task, so reducing opportunities to get distracted can help improve their focus.Let them play: Ensure your child has plenty of opportunities to engage in physically active play. This can include time outdoors, but you might also consider signing them up for other activities, including sports teams.Limit sugar and caffeine: Excess sugar and caffeine can exacerbate high energy levels, but may also interfere with sleep. Limiting these substance may help your child better manage their behavior.Offer reinforcement: Praise your child when they stay focused, works toward a goal, or finishes a task. A Word From Verywell For a child with ADHD, there is much more involved than simply being active and full of energy. Any time you have concerns about your child's development, it's always a good idea to check in with your pediatrician. Parenting Strategies for Kids With ADHD 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Kóbor A, Takács Á, Bryce D, et al. Children with adhd show impairments in multiple stages of information processing in a stroop task: an erp study. Dev Neuropsychol. 2015;40(6):329-47. doi:10.1080/87565641.2015.1086770 Lugo-candelas C, Flegenheimer C, Mcdermott JM, Harvey E. Emotional Understanding, Reactivity, and Regulation in Young Children with ADHD Symptoms. J Abnorm Child Psychol. 2017;45(7):1297-1310. doi:10.1007/s10802-016-0244-7 Pineda-alhucema W, Aristizabal E, Escudero-cabarcas J, Acosta-lópez JE, Vélez JI. Executive function and theory of mind in children with adhd: a systematic review. Neuropsychol Rev. 2018;28(3):341-358. doi:10.1007/s11065-018-9381-9 Humphreys KL, Tottenham N, Lee SS. Risky decision-making in children with and without ADHD: A prospective study. Child Neuropsychol. 2018;24(2):261-276. doi:10.1080/09297049.2016.1264578 Children’s Hospital of Philadelphia. Hyperthyroidism. US National Library of Medicine. Stresses in childhood. By Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? 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