When Strengths and Struggles Collide: Giftedness & Neurodivergence in Clinical Practice
Live
Webinar
Recording available after live presentaiton.
Audience
Music Therapists, Art Therapists,
Allied Health Professionals
$35
1 Credit Hour
PA Board SW, MFT, & PC., CBMT
Introductory
Course Description
Learning Objectives
Differentiate
Apply
Analyze
Integrate
Evaluate
Learning Schedule & Approved Provider Status
Course Schedule
1. Introduction & Conceptual Framing (0:00–0:05 | 5 minutes)
- Welcome and disclosures
- Overview of course purpose
- Key definitions:
- Giftedness / high cognitive ability
- Neurodivergence
- Asynchronous development
2. Understanding the Dual Profile (0:05–0:15 | 10 minutes)
- Characteristics of gifted neurodivergent individuals
- Uneven development across domains
- The masking effect (strengths hiding challenges and vice versa)
- Brief case vignette illustrating asynchronous development
3. Diagnostic Challenges & Misinterpretation (0:15–0:25 | 10 minutes)
- Diagnostic overshadowing
- Common clinical misinterpretations:
- Behavioral concerns vs. unmet cognitive needs
- “Lack of motivation” vs. executive functioning deficits
- Barriers to identification:
- Systemic limitations
- Clinician bias
- Over-reliance on single measures
4. Mental Health Risks & Lived Experience (0:25–0:35 | 10 minutes)
- Internalizing symptoms in high-ability neurodivergent individuals
- Elevated risk for:
- Anxiety and depression
- Suicidal ideation
- Contributing factors:
- Social isolation
- Bullying
- Identity conflict
- Why giftedness is not protective
5. Clinical Interventions & Adaptations (0:35–0:50 | 15 minutes)
- Neurodiversity-affirming counseling practices
- Strength-based treatment planning
- Key adaptations:
- Communication and processing supports
- Addressing emotional awareness (alexithymia)
- Supporting identity and self-concept
- Integrating strengths into therapy
- Modifying standard interventions (e.g., CBT adaptations)
6. Applied Case Integration (0:50–0:57 | 7 minutes)
- Lived-experience case example
- Clinical walkthrough:
- Assessment considerations
- Differential diagnosis
- Treatment planning
- Emphasis on asynchronous development in practice
7. Summary & Key Takeaways (0:57–1:00 | 3 minutes)
- Review of learning objectives
- Core clinical shifts:
- From deficit-based to dual-profile understanding
- From standard to individualized care
- Closing remarks
Course References
Bachtel, K., & Fell, R. (2022). Trauma Induced Twice-Exceptionality: Preventing Psychological Injury of Gifted Children in the Classroom. Springer International Publishing. https://doi.org/10.1007/978-3-031-10378-0_7
Casten, L. G., Thomas, T. R., Doobay, A. F., Foley-Nicpon, M., Kramer, S., Nickl-Jockschat, T., Abel, T., Assouline, S., & Michaelson, J. J. (2023). The combination of autism and exceptional cognitive ability is associated with suicidal ideation. Neurobiology of Learning and Memory, 197. https://doi.org/10.1016/j.nlm.2022.107698
Cormier, C. J. (2025). How Did You Get Here? You’re Not Supposed to Be Here: Supporting the Social-Emotional and Mental Health Needs of Minoritized Twice Exceptional Students. Teaching Exceptional Children, 57(6), 424–429. https://doi.org/10.1177/00400599211073073
Lee Sook Huey, Saw Jo Anne, Fatanah Ramlee, Chan Kah Mun, & Alicia Ng Cher Ching. (2024). Case Report on Twice Exceptional Paradox: Unravelling the Potential and Challenges of Children with Neurodevelopmental Disorders and Cognitive Giftedness in Malaysia. Learning Disabilities: A Contemporary Journal, 22(2), 175–195.
Pfeiffer, S. I., Maralani, F. M., & Prado, R. M. (2025). The often perplexing and challenging work with the twice-exceptional student. Academia Mental Health & Well-Being, 2(4), 1–9. https://doi.org/10.20935/MHealthWellB7990
Townend, G., McGregor, M., Alonzo, D., & Nguyen, H. T. M. (2024). What would it take? Enhancing outcomes for high-ability students with disability. Frontiers in Education, 1–8. https://doi.org/10.3389/feduc.2024.1322872
APA Continuing Education Information
CE Policies
Accommodation Requests
Maleita Olson, LCSW, NADD-CC
Maleita Olson, LCSW, is a co-founder and former executive director of Spectra Support Services, LLC. She is a licensed clinical social worker in PA. During Maleita’s 30 plus year career, she has worked for in community-based, institutional, government and medical settings, with a primary focus on serving individuals with developmental disabilities and their families.
Timothy Olson, BS
Timothy Olson is an autistic adult, neurodivergent public speaker, and advocate focused on mental health awareness and the recognition of neurodiversity. Diagnosed with Asperger Syndrome at age five, he received support throughout his schooling for his giftedness, autism, and ADHD, and went on to earn a degree in Physics from Elon University.
Since 2019, Tim has represented autism advocates on panels at his university and at local conferences, including Next Steps Into Adulthood hosted by the Center for Autism Research at Children’s Hospital of Philadelphia. He currently works as a peer mentor supporting young adults with Autism and/or intellectual disabilities with significant support needs, blending lived experience with professional insight from his work as a Direct Support Professional.
In addition to his advocacy, Tim is an emerging environmental professional with a focus on sustainability and reducing carbon footprints. He is passionate about public transportation and the environment, and enjoys cycling, music, and performing as a member of both a local acapella group and concert band in the greater Philadelphia area.
