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Twice Exceptional Children

Understanding the Misunderstood: Supporting Twice Exceptional Children

At our neurodiverse therapy center, many of our neurodiverse couples care deeply about their twice exceptional (2e) children. These children possess both exceptional abilities and learning differences, often leading to misunderstandings and mislabeling within society. As it is our desire to support the whole family, we want to help the children too. Thus, some of our team members have specialized in caring for twice exceptional children. These therapists work hard to comprehend the unique challenges faced by 2e children and to provide effective support they need to empower them to thrive.

On this page, we explore various aspects of twice exceptionality, shedding light on emotional intensity, executive functioning concerns, and the intersection of giftedness with Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD/ADD), anxiety, obsessive-compulsive disorder (OCD), depression, and specific learning disabilities. Additionally, we discuss the importance of advocating for appropriate educational placements and acceleration for these exceptional children.

Emotional Intensity and Emotional Regulation: Unleashing the Power of Emotions

Twice exceptional children often experience emotional intensity, characterized by heightened sensitivity and depth of emotions. However, this emotional intensity can sometimes lead to challenges in emotional regulation. Our therapists provide a safe and supportive environment where 2e children can explore and express their emotions. Through evidence-based interventions, such as cognitive-behavioral therapy (CBT) and mindfulness techniques, we assist them in developing effective emotional regulation strategies. By nurturing their emotional well-being, we empower 2e children to harness the power of their emotions and thrive.

Executive Functioning Concerns: Unleashing Potential through Skill Development

Executive functioning refers to a set of cognitive skills that enable individuals to plan, organize, focus, regulate behavior, and manage time effectively. Many twice exceptional children face difficulties in this area, impacting their academic performance and daily functioning. Our therapists conduct comprehensive assessments to understand the specific executive functioning challenges faced by each child. With this knowledge, they design personalized interventions that address organization, time management, task initiation, and problem-solving skills. By cultivating these executive functioning abilities, we equip 2e children with the tools necessary to unlock their full potential.

Gifted and Autism (ASD)/Asperger's: Navigating Dual Exceptionalities

The co-occurrence of giftedness and Autism Spectrum Disorder (ASD) or Asperger's syndrome presents unique challenges and opportunities. Our therapists specialize in understanding the intersection of these dual exceptionalities. They provide individualized support that acknowledges the strengths of gifted 2e children with ASD, such as their focused interests and attention to detail, while addressing the social and communication difficulties they may encounter. Through social skills training, sensory integration techniques, and personalized educational strategies, our therapists empower 2e children with ASD to navigate their world with confidence and resilience.

Gifted and Attention Deficit Hyperactivity Disorder (ADHD/ADD): Balancing Hyperfocus and Inattention

The combination of giftedness and Attention Deficit Hyperactivity Disorder (ADHD/ADD) brings forth unique strengths and challenges. Our therapists employ a multi-faceted approach to support 2e children in balancing their hyperfocus and challenges with attention regulation. Through tailored interventions, including behavioral strategies, self-monitoring techniques, and adaptive learning environments, we help these children channel their intense focus while managing impulsivity and improving organizational skills. By understanding their individual needs, we empower 2e children with ADHD/ADD to thrive academically and personally.

Gifted and Anxiety and Obsessive-Compulsive Disorder (OCD): Unraveling the Complexity


The combination of giftedness and anxiety, including obsessive-compulsive disorder (OCD), presents unique challenges that require a holistic approach to intervention. Our therapists provide a supportive and compassionate environment where 2e children with anxiety and OCD can explore their thoughts and fears. Through evidence-based therapies, such as exposure and response prevention (ERP) and cognitive restructuring, we assist them in developing coping mechanisms to manage their anxiety and reduce OCD-related behaviors. Additionally, our therapists work collaboratively with families and educators to create a nurturing and accommodating environment that supports the emotional well-being of these children while fostering their academic and personal growth.

Gifted and Depression: Nurturing Resilience and Emotional Well-being


Gifted 2e children may be susceptible to experiencing depression due to a combination of their intense emotions, perfectionistic tendencies, and the challenges they face in navigating their exceptionalities. Our therapists offer a safe space for these children to express their emotions and explore the underlying causes of their depressive symptoms. Through a range of therapeutic techniques, including cognitive restructuring, supportive counseling, and creative expression, we empower them to develop resilience, self-compassion, and effective coping strategies. Our goal is to help these children build a strong foundation of emotional well-being and thrive in all aspects of their lives.

Gifted and Specific Learning Disabilities (Dyslexia, Dyscalculia, Dysgraphia): Unlocking Potential through Individualized Approaches

Twice exceptional children often face specific learning disabilities, such as dyslexia, dyscalculia, or dysgraphia, alongside their giftedness. Our therapists understand the unique learning profiles of these children and employ individualized approaches to support their academic growth. Through targeted interventions, such as multi-sensory learning techniques, assistive technologies, and specialized instructional strategies, we help 2e children overcome their learning challenges while fostering their exceptional abilities. By nurturing their strengths and providing the necessary accommodations, we enable them to reach their full potential academically and develop a positive self-identity as learners.

Twice Exceptional School Advocacy for Placement, Acceleration, etc.: Ensuring an Optimal Educational Experience

Advocating for appropriate educational placement and support is crucial for 2e children to thrive academically and socially. Our therapists work closely with families, educators, and school administrators to advocate for individualized education plans (IEPs), gifted programs, acceleration, and other necessary accommodations. By providing comprehensive assessments, educational consultation, and ongoing collaboration, we ensure that the educational environment is conducive to the unique needs and abilities of 2e children. Our goal is to create a supportive and nurturing educational experience that fosters their growth, maximizes their potential, and celebrates their neurodiversity.

Final Words

At our neurodiverse therapy center, we recognize and embrace the unique strengths and challenges faced by twice exceptional children. Our therapists provide specialized support that addresses emotional intensity, executive functioning concerns, and the intersection of giftedness with various exceptionalities. Through evidence-based interventions, personalized approaches, and collaboration with families and educators, we empower these exceptional children to overcome obstacles, develop resilience, and unlock their full potential. By embracing neurodiversity and nurturing the unique talents and abilities of 2e children, we create a world where they can thrive and make meaningful contributions.

Click here to meet Leila Pirnia, MA, and read about her expertice in helping twice exceptional children.

Exec Function
Learning Disabilities
School Advocacy
Final Word
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