The Hidden Side of Hyperactivity in Girls and Women

When we think of hyperactivity , the image that often comes to mind is a child who can’t sit still or constantly interrupts. But for many girls and women, restlessness looks entirely different—and it’s often invisible. Understanding how hyperactivity presents differently is crucial for early identification and support.

The Internal World of Hyperactivity in Girls and Women

For girls and women, overactivity doesn’t always appear as physical restlessness. Instead, it can manifest in subtle and internalized ways:

A constant stream of racing thoughts that never seem to stop.
The need to move or fidget but hiding it through subtle actions like tapping a foot or playing with hair.
Over-talking, blurting out responses, or interrupting because the words feel urgent.

I’ve worked with girls labeled as “daydreamers” because their hyperactivity in girls and women was entirely mental. Lost in planning, analyzing, or imagining, they never appeared outwardly disruptive. These subtler signs mean that many girls are overlooked or diagnosed much later in life.

Why It Is Often Overlooked

As a school psychologist, I’ve seen firsthand how hyperactivity in girls and women is often masked. Girls might sit quietly in class, appearing compliant, but internally, they may struggle to focus or stay on task. Teachers often describe these girls as “sweet but forgetful,” missing the underlying hyperactivity that is just as present as it is for boys.

The lack of recognition often leads to later diagnoses, leaving many girls and women to cope without understanding why they feel different. This delay can affect their confidence, mental health, and self-perception.

Supporting Hyperactivity in Girls and Women

Recognizing the unique ways hyperactivity manifests in girls and women is key to better support. Open conversations can help girls and women describe their focus and energy levels without judgment. Simple accommodations like frequent breaks, sensory tools, or visual reminders can make a big difference.

For parents, teachers, and loved ones, understanding the internalized nature of hyperactivity in girls and women creates opportunities to provide validation and assistance.

Learn More: For additional resources, check out CHADD’s Guide to ADHD in Women.