Hyperactivity often brings energy, spontaneity, and quick thinking. Those same qualities can create real challenges for sitting through long meetings, slowing down, or falling asleep. In ADHD, this pattern comes from differences in arousal regulation and motor control, not from laziness or a lack of willpower.

How it can show up

• Feeling “revved” or restless; bouncing a leg, tapping, fidgeting without noticing

• Struggling to sit through meetings or long classes; looking for reasons to stand or move

• Talking more than intended, rapid speech, or jumping between topics

• Preferring fast-paced tasks; multitasking to stay engaged; boredom feels intolerable

• Racing thoughts, mental chatter, or a constant urge to do something

• Trouble winding down at night; second wind in the late evening; difficulty with sleep routines