<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi , my four and half year old son is very active and intelligent, but i am concerned that he may be a hyperactive child. he is excellent in academics and can focus in all activities. can communicate very well and is highly analytical. extremely quick, body is flexible, likes to climb and run. please tell me if i have to be very concerned about his over-active behavior. it is difficult for him to sit still unless he is watching tv or occupied with activity  <response>: DearWelcome to ChatDoctorWe understand your concerns went through your details. According to you your son is excellent in academics and can focus on all activities, can communicate very well and is highly analytical. That is certainly good for a 4-year-old child. I dont see anything wrong in the behavior of the child. At the age of 4, any child is supposed to be a bit hyper mainly because of the playful attitude. You may search internet for the signs and symptoms of hyperactivity and compare with your child. Its natural to wonder if ADHD attention deficit hyperactivity disorder could be the cause of your children high energy. But just being hyper doesnt necessarily mean your child has the condition. Watch out for these other signs of ADHD:Does he interrupt frequently? Does he have trouble following instructions and organizing tasks? Is he forgetful? Is he impatient? Does he frequently speak out of turn? If your child has ADHD, these problems will happen over a long period of time, and usually at home as well as school. If you say Yes for three out of these questions, you may need to consult a psychologist for ADHD assessment and further guidelines. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. 