Twice exceptional

Term used for a gifted student who also possesses at least one disability

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a hypothetical radar plot of spikey cognitive profile. Similar details can be found in Doyle, Nancy. "Neurodiversity at work: a biopsychosocial model and the impact on working adults." British medical bulletin 135, no. 1 (2020): 108-125.[1]

The term twice-exceptional or 2e refers to individuals acknowledged as gifted and neurodivergent. As a literal interpretation implies, it means a person (usually a child or student) is simultaneously very strong or gifted at some task but also very weak or incapable of another task. Due to this duality of twice-exceptional people's cognitive profiles, their strengths, weaknesses, and struggles may remain unnoticed or unsupported. Because of the relative apparentness of precocious developments, such as hyperlexia, compared to subtler difficulties which can appear in day-to-day tasks, these people may frequently face seemingly contradictory situations which lead to disbelief, judgements, alienation, and other forms of epistemic injustice. Some related terms are "performance discrepancy", "cognitive discrepancy", "uneven cognitive profile", and "spikey profile". Due to simultaneous combination of abilities and inabilities, these people do not often fit into an age-appropriate or socially-appropriate role. An extreme form of twice-exceptionalism is Savant syndrome. The individuals often identify with the description of twice-exceptional due to their unique combination of exceptional abilities and neurodivergent traits. The term "twice-exceptional" first appeared in Dr. James J. Gallagher's 1988 article "National Agenda for Educating Gifted Students: Statement of Priorities".[2] Twice-exceptional individuals embody two distinct forms of exceptionalism: one being giftedness and the other including at least one aspect of neurodivergence. Giftedness is often defined in various ways and is influenced by entities ranging from local educational boards to national governments;[3] however, one constant among every definition is that a gifted individual has high ability compared to neurotypical peers of similar age. The term neurodivergent describes an individual whose cognitive processes differ from those considered neurotypical and who possesses strengths that exceed beyond the neurotypical population. Therefore, the non-clinical designation of twice-exceptional identifies a gifted person with at least one neurodivergent trait.[4]

## Misunderstood children

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Brody and Mills [1997] argue that this population of students "could be considered the most misunderstood of all exceptionalities".[5] In each situation, the twice-exceptional student's strengths help to compensate for deficits; the deficits, on the other hand, make the child's strengths less apparent.[6] Although, currently there is no empirical research to confirm this theory. The interplay of exceptional strengths and weaknesses in a single individual results in inconsistent performance. They might present any of the three profiles identified by educator and researcher Dr. Susan Baum:

* Bright but not trying hard enough
* Learning disabled but with no exceptional abilities
* Average

In the case of behavioral/socio-emotional, rather than cognitive problems, both strengths and deficits can be intensified. A twice-exceptional student's grades commonly alternate between high and low, even within the same subject. The child might have advanced vocabulary and ideas, but be unable to organize those ideas and express them on paper. They might be a skilled artist or builder, but turn in assignments that are messy or illegible. They might complete assignments, but lose or forget to submit. To the parents and teachers observing this behavior, it may seem that the child isn't trying; many twice-exceptional children work as hard or harder than others, but with less to show for their efforts. This struggle to accomplish tasks that appear easy for other students can leave twice-exceptional children frustrated, anxious, and depressed. It can rob them of their enthusiasm and energy for school and damage their self-esteem.[citation needed]

Some other common situations may involve some amazing performance or contributions by such individuals being mistakenly distrusted, discredited, or undervalued because they are not known to be brilliant in other areas, or because they are far ahead of their peers in some aspects. For example, Nikola Tesla was thought to be cheating when he was doing college calculus problems without pen or paper,[citation needed] whereas, some of these students may never reveal their skills and interests due to a learning environment that does not allow creativity. It has been said that "so called high functioning term ignores the hardships, whereas the so called low functioning terminology ignores potentials".[citation needed] So "presume competence"[citation needed] has been recommended.

## Identifying twice exceptionality

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Formal identification of twice exceptionality requires identification and formal clinical diagnosis of each of at least two separate underlying exceptionalities. Given the statistical rarity, wide variety of presentations, and practical access issues with obtaining adequate diagnostic assessments, it is not unusual for 2e children or adults in open society to have not been accurately identified or adequately diagnosed.

Children identified as twice exceptional can exhibit a wide range of traits, many of them typical of gifted children. Like those who are gifted, twice-exceptional children often show greater asynchrony than average children (that is, a larger gap between their mental age and physical age). They are often intense and highly sensitive to their emotional and physical environments. The following chart summarizes characteristics commonly seen in this population.

Some common characteristics of twice-exceptional children[7] Strengths | Deficits

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* Superior vocabulary

* Poor social skills

* Advanced ideas and opinions

* High sensitivity to criticism

* High levels of creativity and problem-solving ability

* Lack of organizational and study skills

* Extremely curious and inquisitive

* Discrepant verbal and performance skills

* Very imaginative and resourceful

* Manipulative

* Wide range of interests not related to school

* Poor performance in one or more academic areas

* Penetrating insight into complex issues

* Difficulty with written expression

* Specific talent or consuming interest area

* Stubborn, opinionated demeanor

* Sophisticated sense of humor

* High impulsivity

[8] Twice exceptionality often does not show up until children are in school. In their early years, these children often seem very bright, with varied interests and advanced vocabularies (particularly with reference to same-age peers); and many times parents are unaware that they have a child with 2e. Teachers sometimes spot problems in school; sometimes parents are the first to notice their children's frustrations with school. During the early years it may be social difficulties. The 2e child may find it hard to make friends and fit in. Academic problems often appear later. As work demands increase, teachers may see a drop or inconsistencies in the student's performance, sometimes accompanied by an increase in problem behaviors. Some 2e students withdraw, showing reluctance to speak out or take other risks in class; while others play the class clown. Some are unable to stay focused, find it hard to sit still and work quietly, and have difficulty controlling anger or frustration.

If these difficulties persist, school personnel or parents may decide that evaluation is needed. Along with a physical examination, children may undergo psycho-educational testing to determine the cause of their struggles. The professionals who take part in the process should be knowledgeable about giftedness. Some characteristics of giftedness can look very much like those of a learning disability or disorder and, as a result, gifted children are sometimes incorrectly diagnosed with disorders.[9] For instance, if a single IQ score is considered in the identification of giftedness, 2e individuals with learning disabilities are likely to be misidentified.[10] Therefore, evaluation results should indicate the child's areas of strength and weakness and identify whether any disorders or learning disabilities are present. In addition, the results should include information on what the child needs in order to build on the strengths and compensate for the weaknesses that have been identified. Teaching to students' abilities rather than disabilities increases self-concept scores.[11]

## Support

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Twice-exceptional (2e) children possess both giftedness and learning disabilities, requiring specialized support to thrive academically and socially.[12] Their strengths are crucial for success,[13] and they excel in environments that offer intellectual challenges and complex thinking opportunities.[14] Essential support mechanisms include encouragement,[15] compensation strategies,[16] and accommodations such as time allowances.[17] Effective interventions must address their intellectual and social-emotional needs,[18] ensuring their gifts are recognized. At the same time, challenges they may encounter in their environment can be mitigated through self-advocacy skills[19] and utilization of social and legal protections.[20] Moreover, distinctions should be made to address the unique challenges that different diagnoses may present in individuals, particularly those with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD).[21]

While both gifted individuals who are also identified as ASD or ADHD may exhibit high intelligence and unique interests, a key difference lies in their social interaction patterns. Some autistic individuals have unique profiles that may challenge reciprocal communication and understanding social cues and pacing,[22] which can dramatically impact their learning opportunities.[23] Alternatively, those with ADHD may require support with interest-based engagement and impulsiveness,[24] which can influence their needs for organization support and time allowances, as well as opportunities to seek novelty.[25]

Given these complexities, counselors and psychologists play vital roles in supporting 2e students. Counselors are positioned to be valuable resources for teachers, other school personnel, and community members who might need to become more familiar with twice-exceptionality. Psychologists provide and interpret assessments and develop targeted interventions based on students’ cognitive profiles. Both professionals are essential in creating supportive educational environments that recognize and nurture the unique abilities of twice-exceptional students. Counselors, psychologists, and educators must adjust their approaches based on the 2e students’ developmental levels[26][27][28] to help ensure that environmental factors comply with and appropriately accommodate for these needs to ensure accelerative opportunities and talent development commensurate with individuals’ talents, skills, and creative gifts.

## Education

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The twice-exceptional education movement started in the early 1970s with "gifted-handicapped" education,[29] a term essentially referring to the same population. The 2e education approach has 35 years of research and best practices tailored to the needs of 2e students. It is a marriage between special education and gifted education—a strengths-based, differentiated approach that provides special educational supports. Many argue that talent development is the most critical aspect of their education.[30]

When teaching 2e students there are methods an educator should avoid. Twice exceptionality students do not respond well to lectures, and tend to gravitate more toward "big picture" learning.[citation needed] These students have a hard time following unnecessarily strict rules, and should not be expected to conform to them. Instead, being flexible with them, and focusing more on holistic, big-picture learning is recommended.

Still, finding schools that can meet the needs of twice exceptional children can be a challenge for many parents. Public and private schools with programs that combine the appropriate levels of challenge and support for these learners are in the minority. For this reason, a number of parents choose alternative educational options for their 2e children, including homeschooling and virtual schools.[31]

Only a handful of schools in United States offer a curriculum specifically tailored to 2e children. Some public schools offer part-time programs for twice exceptional students, where they can progress in subjects like math at their own pace, and meet other students like themselves.[citation needed]

## Criticism

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The term "twice exceptional" has been listed among terms to avoid using for neurodivergent people, possibly because it is a synonym of "special", itself identified as an ableist term.[32]

## See also

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* Exceptional education
* Neurodiversity
* The Fox and the Stork
* The Ugly Duckling
* Double empathy problem
* Nerd
* Autism rights movement
* Autism spectrum
* Asperger's syndrome
* Dyslexia
* Nonverbal learning disorder
* Hidden disability
* Epistemic injustice

## References

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1. ^ Doyle, Nancy (14 October 2020). "Neurodiversity at work: a biopsychosocial model and the impact on working adults". British Medical Bulletin. 135 (1): 108–125\. doi:10.1093/bmb/ldaa021. PMC 7732033. PMID 32996572.
2. ^ Gallagher, J. J. (1988). National Agenda for Educating Gifted Students: Statement of Priorities. Exceptional Children, 55(2), 107-114. https://doi.org/10.1177/001440298805500202
3. ^ Reis, S. M., Baum, S. M., & Burke, E. (2014). An Operational Definition of Twice-Exceptional Learners: Implications and Applications. Gifted Child Quarterly, 58(3), 217-230. https://doi.org/10.1177/0016986214534976
4. ^ 1\. Davis JL. Intentionally opening the world of twice exceptionality for culturally diverse learners. Teaching for High Potential. 2024:1-1,16.
5. ^ Brody, L.E.; Mills, C.J. (1997). "Gifted Children with learning disabilities: a review of the issues". Journal of Learning Disabilities. 30 (3): 282–296\. doi:10.1177/002221949703000304. PMID 9146095. S2CID 23515768.
6. ^ Baum, S. & Owen, S. (2004). To Be Gifted & Learning Disabled: Strategies for Helping Bright Students with LD, ADHD, and More. Mansfield Center, CT: Creative Learning Press.
7. ^ Higgins, L. D. & Nielsen, M. E. (2000). Responding to the Needs of Twice-Exceptional Learners: A School District and University's Collaborative Approach. In K. Kay, (Ed.), Uniquely Gifted: Identifying and Meeting the Needs of the Twice-Exceptional Student (pp. 287-303). Gilsum, NH: Avocus Publishing.
8. ^ Dare, Lynn; Nowicki, Elizabeth Agnes (2015-10-02). "Twice-Exceptionality: Parents' Perspectives on 2e Identification". Roeper Review. 37 (4): 208–218\. doi:10.1080/02783193.2015.1077911. ISSN 0278-3193. S2CID 143083931.
9. ^ Webb, J.T.; Amend, E.R.; Webb, N.E.; Goerss, J.; Beljan, P.; Olenchak, F.R. (2005). The Misdiagnosis and Dual Diagnoses of Gifted Children and Adults: ADHD, Bipolar, OCD, Asperger's, Depression, and Other Disorders. Scottsdale, AZ: Great Potential Press.
10. ^ Atmaca, Furkan; Baloğlu, Mustafa (October 2022). "The Two Sides of Cognitive Masking: A Three-Level Bayesian Meta-Analysis on Twice-Exceptionality". Gifted Child Quarterly. 66 (4): 277–295\. doi:10.1177/00169862221110875. ISSN 0016-9862. S2CID 250975483.
11. ^ Nielsen, M.E.; Mortorff-Albert, S. (1989). "The effects of special education service on the self-concept and school attitude of learning disabled/gifted students". Roeper Review. 12 (1): 29–36\. doi:10.1080/02783198909553227.
12. ^ Foley-Nicpon, Megan; Assouline, Susan G. (April 2015). "Counseling Considerations for the Twice-Exceptional Client". Journal of Counseling & Development. 93 (2): 202–211\. doi:10.1002/j.1556-6676.2015.00196.x.
13. ^ Baum, Susan M.; Schader, Robin M.; Owen, Steven V. (2017). To be gifted & learning disabled: strength-based strategies for helping twice-exceptional students with LD, ADHD, ASD, and more (Third ed.). Waco, TX: Prufrock Press, Inc. ISBN 978-1-61821-644-1.
14. ^ Kircher-Morris, Emily (2021). Teaching twice-exceptional learners in today's classroom. Minneapolis: Free Spirit Publishing Inc. ISBN 978-1-63198-485-3.
15. ^ Reis, Sally M.; Madaus, Joseph W.; Gelbar, Nicholas W.; Miller, Lawrence J. (September 2024). "Strength-Based Strategies for Twice-Exceptional High School Students With Autism Spectrum Disorder". TEACHING Exceptional Children. 57 (1): 24–33\. doi:10.1177/00400599221108899. ISSN 0040-0599.
16. ^ Trail, Beverly A. (2022-02-02). Twice-Exceptional Gifted Children: Understanding, Teaching, and Counseling Gifted Students (2 ed.). New York: Routledge. doi:10.4324/9781003261216. ISBN 978-1-003-26121-6.
17. ^ Johnsen, Susan K.; VanTassel-Baska, Joyce, eds. (2022). Handbook on assessments for gifted learners: identification, learning progress, and evaluation. New York, NY: Routledge, Taylor & Francis Group. ISBN 978-1-032-25987-1.
18. ^ Maddocks, Danika L. S. (January 2020). "Cognitive and Achievement Characteristics of Students From a National Sample Identified as Potentially Twice Exceptional (Gifted With a Learning Disability)". Gifted Child Quarterly. 64 (1): 3–18\. doi:10.1177/0016986219886668. ISSN 0016-9862.
19. ^ Douglas, Deb (2018). The power of self-advocacy for gifted learners: teaching the 4 essential steps to success. Minneapolis, MN: Free Spirit Publishing Inc. ISBN 978-1-63198-205-7.
20. ^ Gilman, Barbara Jackson; Lovecky, Deirdre V.; Kearney, Kathi; Peters, Daniel B.; Wasserman, John D.; Silverman, Linda Kreger; Postma, Michael G.; Robinson, Nancy M.; Amend, Edward R.; Ryder-Schoeck, Michelle; Curry, Patricia Hedges; Lyon, Sally K.; Rogers, Karen B.; Collins, Linda E.; Charlebois, Gerry M. (2013-07-01). "Critical Issues in the Identification of Gifted Students With Co-Existing Disabilities: The Twice-Exceptional". SAGE Open. 3 (3): 2158244013505855. doi:10.1177/2158244013505855. ISSN 2158-2440.
21. ^ van der Putten, W. J.; Mol, A. J. J.; Groenman, A. P.; Radhoe, T. A.; Torenvliet, C.; van Rentergem, J. A. Agelink; Geurts, H. M. (2024). "Is camouflaging unique for autism? A comparison of camouflaging between adults with autism and ADHD". Autism Research. 17 (4): 812–823\. doi:10.1002/aur.3099. ISSN 1939-3806. PMID 38323512.
22. ^ Vivanti, Giacomo; Bottema-Beutel, Kristen; Turner-Brown, Lauren (2020), Vivanti, Giacomo; Bottema-Beutel, Kristen; Turner-Brown, Lauren (eds.), "Correction to: Clinical Guide to Early Interventions for Children with Autism", Clinical Guide to Early Interventions for Children with Autism, Cham: Springer International Publishing, pp. C1, doi:10.1007/978-3-030-41160-2_11, ISBN 978-3-030-41160-2, retrieved 2024-11-30
23. ^ Baldwin, Lois; Omdal, Stuart N.; Pereles, Daphne (2015-03-01). "Beyond Stereotypes: Understanding, Recognizing, and Working With Twice-Exceptional Learners". TEACHING Exceptional Children. 47 (4): 216–225\. doi:10.1177/0040059915569361. ISSN 0040-0599.
24. ^ McCoach, D. Betsy; Siegle, Del; Rubenstein, Lisa DaVia (2020-04-01). "Pay Attention to Inattention: Exploring ADHD Symptoms in a Sample of Underachieving Gifted Students". Gifted Child Quarterly. 64 (2): 100–116\. doi:10.1177/0016986219901320. ISSN 0016-9862.
25. ^ Gentry, Marcia; Fugate, C. Matthew (2018), Pfeiffer, Steven I.; Shaunessy-Dedrick, Elizabeth; Foley-Nicpon, Megan (eds.), "Attention-deficit/hyperactivity disorder in gifted students.", APA handbook of giftedness and talent., Washington: American Psychological Association, pp. 575–584, doi:10.1037/0000038-037, ISBN 978-1-4338-2696-2, retrieved 2024-11-30
26. ^ Foley-Nicpon, Megan; Assouline, Susan G. (2015). "Counseling Considerations for the Twice-Exceptional Client". Journal of Counseling & Development. 93 (2): 202–211\. doi:10.1002/j.1556-6676.2015.00196.x. ISSN 1556-6676.
27. ^ Renzulli, Sara J.; Gelbar, Nicholas (2019-01-01). "Leadership Roles for School Counselors in Identifying and Supporting Twice-Exceptional (2E) Students". Professional School Counseling. 23 (1): 2156759X20940636. doi:10.1177/2156759X20940636. ISSN 1096-2409.
28. ^ Cross, Tracy L.; Cross, Jennifer Riedl, eds. (2021). Handbook for counselors serving students with gifts & talents: development, relationships, school issues, and counseling needs/interventions (Second ed.). Waco, TX: Prufrock Press. ISBN 978-1-003-23541-5.
29. ^ Maker, C. June (1977). Providing programs for the gifted handicapped. Council for Exceptional Children. OL 4559927M.
30. ^ Baum, S.M.; Owen, S.V. (2004). To be gifted and learning disabled: Meeting the needs of gifted students with LD, ADHD and more. Mansfield Center, CT: Creative Learning Press.
31. ^ Neumann, L. C. (2008). No One Said It was Easy – Challenges of Parenting Twice-Exceptional Children. In M. W. Gosfield, (Ed.), Expert Approaches to Support Gifted Learners: Professional Perspectives, Best Practices, and Positive Solutions (pp. 269-276). Minneapolis: Free Spirit Publishing.
32. ^ Corning, Sean (August 1, 2022). "What is Ableism and how is it a part of the everyday language we use at the library?". NLM. Retrieved June 28, 2025.

## Further reading

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* Bellis, T. J. (2002). When the Brain Can't Hear: Unraveling the Mystery of Auditory Processing Disorder. New York: Atria.
* Bireley, M. (1995). Crossover Children: A Sourcebook for Helping Children Who Are Gifted and Learning Disabled. Reston, VA: Council for Exceptional Children.
* Curtis, S. E. (2008). Understanding Your Child's Puzzling Behavior: A Guide for Parents of Children with Behavioral, Social, and Learning Challenges. Bainbridge Island, WA: Lifespan Press.
* Dare, L., & Nowicki, E.A. (2015). Twice-exceptionality: Parents’ perspectives on 2e identification. Roeper Review. 37(4), 208–218. doi: 10.1080/02783193.2015.1077911
* Dendy, C. A. Z. (2000). Teaching Teens with ADD and AD/HD: A Quick Reference Guide for Teachers and Parents. Bethesda, MD: Woodbine House.
* Eide, B. & F. (2006). The Mislabeled Child. New York: Hyperion.
* Johnsen, S. K. & Kendrick, J. (2005). Teaching Gifted Students with Disabilities. Waco: Prufrock Press.
* Kaufman, R.K (2014). Autism Breakthrough . The Son Rise Program Developmental Model, New York: [www.stmartins.com St. Martin's Press]
* Levine, M. (2002). The Myth of Laziness. New York: Simon & Schuster.
* Lovecky, Deirdre (2004). Different Minds: Gifted Children With AD/HD, Asperger Syndrome, and other Learning Deficits. London: Jessica Kingsley Publishers.
* Miller, L. J. (2006). Sensational Kids: Hope and Help for Children with Sensory Processing Disorder. New York: G.P. Putnam's Sons.
* Probst, B. (2008). When the Labels Don't Fit: A New Approach to Raising a Challenging Child. New York: Three Rivers Press.
* Rivero, L. (2002). Creative Home Schooling: A Resource Guide for Smart Families. Scottsdale: Great Potential Press.
* Schultz, S. M. (2009). Twice-exceptional Students Participating in Advanced Placement and other College Classes while Still in High School. USA: VDM
* Silverman, L. (2002). Upside-Down Brilliance: The Visual-Spatial Learner. Denver: DeLeon Publishing, Inc.
* Vail, Priscilla (1989). Smart Kids with School Problems: Things to Know and Ways to Help. New York: Plume.
* Weinfeld, R., Jeweler, S., Barnes-Robinson, L., Shevitz, B. (2006). Smart Kids with Learning Difficulties: Overcoming Obstacles and Realizing Potential. Waco: Prufrock Press.

## External links

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* Association for the Education of Gifted Underachieving Students
* Top Schools For 2E Kids in The U.S.
* Hoagies' Gifted Education Page
* Uniquely Gifted
* Gifted Homeschoolers Forum
* The Twice-Exceptional Dilemma
* The Lang School
* The Quad Preparatory School
* TECA 2e – Twice Exceptional Children's Advocacy
* Bridges 2e Center for Research & Professional Development

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