ADHD is far more than simple hyperactivity. Behind the restless child may lie fear, sensory overload, frustration intolerance, emotional dysregulation, or a deep need for stimulation. This evidence-informed article explores what current research says about homeopathy in ADHD, examines its limitations honestly, and offers a practical clinical framework to differentiate common hyperactive remedy states such as Tarentula, Stramonium, Tuberculinum, Chamomilla, and Carcinosin. A thoughtful read for practitioners seeking a more structured and measurable approach to ADHD case management.