Can a child with ADHD be gifted? (Understanding twice-exceptional children)
- Dr Harry Woodward

- 16 hours ago
- 4 min read

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Yes.
A child with ADHD can absolutely be gifted.
In fact, many gifted children also have ADHD. This combination is sometimes called twice exceptional (2e) meaning a child has both high ability and a neurodevelopmental condition.
If you’ve ever thought:
“My child is incredibly bright, but they’re struggling.”
“They understand complex ideas but can’t stay organised.”
“How can they be so smart and still forget everything?”
You are not imagining things.
Let’s break this down clearly.
Does ADHD affect intelligence?
No.
ADHD does not reduce intelligence.
ADHD is a neurodevelopmental condition that affects:
Attention regulation
Impulse control
Organisation
Time management
Emotional regulation
Executive functioning
It does not affect IQ or reasoning ability.
Research consistently shows that intelligence in children with ADHD follows the same distribution as the general population. Some children have learning difficulties. Many are average. Some are exceptionally bright.
So yes, a child can have ADHD and a high IQ.
What does “gifted” mean?
Gifted does not simply mean “good grades.”
A gifted child may show:
Advanced reasoning skills
Deep curiosity
Rapid learning when interested
Exceptional memory in specific areas
Creative or divergent thinking
Intense focus on areas of passion
A gifted child with ADHD might:
Understand concepts far beyond their age
Ask complex, thoughtful questions
Read advanced material
and still:
Lose homework
Struggle with deadlines
Make careless mistakes
Have emotional outbursts
Appear disorganised
This is where things feel confusing for adults.
The twice-exceptional (2e) child
When a child is both gifted and has ADHD, they are often described as twice exceptional (2e).
Twice-exceptional children often:
Excel in areas of passion
Become bored easily in school
Feel frustrated by repetitive tasks
Mask difficulties because they are cognitively strong
Appear inconsistent
Their strengths can hide their struggles.
And their struggles can hide their strengths.
This is why gifted children with ADHD are sometimes:
Mislabelled as lazy
Viewed as unmotivated
Missed for enrichment
Overlooked for support
Why a gifted child with ADHD may struggle in school
Many parents say:
“They’re so smart, so why are they struggling?”
Here are common reasons.
1. Executive function difficulties
ADHD primarily affects executive function - the brain’s management system.
Executive function includes:
Starting tasks
Planning
Organising
Managing time
Regulating emotions
Holding instructions in working memory
A child can have advanced reasoning ability but immature executive skills.
Think of it like this:
The engine is powerful.
But the steering and brakes need support.
2. Interest-based attention
Children with ADHD often focus intensely on what interests them.
This means they might:
Hyperfocus on coding, art, science, history
Struggle with repetitive worksheets
Lose interest in subjects that feel slow or unstimulating
Gifted brains crave challenge.
ADHD brains crave stimulation.
A repetitive classroom environment can be the perfect storm.
3. Emotional intensity
Gifted children often feel things deeply.
ADHD can increase impulsivity and reduce emotional regulation.
Together, this can lead to:
Big reactions
Frustration
Perfectionism
Anxiety
A bright child may understand more than their peers but still struggle to manage big feelings.
Can giftedness mask ADHD?
Yes.
Especially in:
Bright girls
High-achieving children
Verbally strong students
Gifted children may:
Compensate academically
Memorise instead of organise
Work harder to hide struggles
Maintain grades while becoming increasingly stressed
Difficulties often become clearer when:
Schoolwork becomes more complex
Organisation demands increase
Independence becomes essential (often in secondary school)
This is why some gifted children are diagnosed with ADHD later than expected.
Signs your bright child might also have ADHD
You might notice:
Strong reasoning but poor organisation
Advanced vocabulary but incomplete homework
Big ideas but difficulty finishing tasks
Hyperfocus in interests but avoidance elsewhere
Emotional intensity alongside high ability
If the mismatch between ability and functioning feels significant, it’s worth exploring further.
What helps twice-exceptional (2e) children?
Gifted children with ADHD often need:
Academic challenge
Explicit executive function support
Structure and scaffolding
Emotional regulation support
Strength-based encouragement
They need both enrichment and understanding.
Not one instead of the other.
When to consider an ADHD assessment
You may want to seek professional advice if your gifted child:
Is consistently struggling with organisation or attention
Experiences emotional dysregulation
Leaves everything until the last minute
Shows high ability but low functional performance
Appears overwhelmed despite strong intelligence
A comprehensive neurodevelopmental assessment looks at the full profile - strengths and struggles.
Understanding the “why” behind the inconsistency often brings enormous relief.
Final answer: Can a child with ADHD be gifted?
Yes.
Many gifted children have ADHD.
ADHD does not reduce intelligence.
It changes how intelligence is expressed and managed.
When we recognise both high ability and executive function differences, we stop calling children “inconsistent” and start supporting them properly.
That’s when bright children who have been struggling often begin to thrive.
✅ Frequently Asked Questions: Giftedness and ADHD
Can a child with ADHD be gifted?
Yes. ADHD does not reduce intelligence. A child can be very bright and still have ADHD.
Can a child have high IQ and ADHD?
Yes. Some children with ADHD have average IQ, some have learning difficulties, and some have very high IQ. ADHD affects attention and executive function, not IQ.
What does “twice exceptional (2e)” mean?
“Twice exceptional” usually means a child is both gifted (high ability) and has an additional learning or neurodevelopmental difference, such as ADHD or autism.
How do I know if my gifted child also has ADHD?
Common signs include strong reasoning but poor organisation, forgetting homework, struggling to start tasks, losing items, emotional outbursts, and inconsistent performance across subjects.
Can giftedness hide ADHD?
Yes. Bright children can compensate for longer, especially if they are verbally strong or high-achieving. Difficulties often show up later when school becomes more complex and independence is expected.
Why is my smart child struggling in school?
Many gifted children struggle because ADHD affects executive function skills like planning, time management, task initiation, and emotional regulation even when they understand the work.
Can ADHD look like giftedness?
Sometimes. Children with ADHD may be very creative, curious, fast-thinking, and intense in their interests. But they may still struggle with everyday tasks and routines.
Do twice-exceptional children need different support at school?
Often, yes. They may need both enrichment (challenge) and scaffolding (support with organisation, routines, and emotional regulation).
Should I get an assessment if my child is gifted but struggling?
If your child’s ability is high but daily functioning is clearly difficult (homework battles, disorganisation, emotional distress, school concerns), an assessment can be helpful for clarity and support planning.



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