This is a preliminary study that was conducted in regard to 180 gifted students who attended the "Malaysian Gifted Centre's School Holiday Camp" in 2011. Data indicated that only about 7% of the respondents had a tendency to seek a counsellor's help to solve their problems, and the need for counselling services was higher among female than male students. It was also found that career counselling was the most preferred type of counselling service needed by the Malaysian gifted students. Findings from the study reveal five different elements that need consideration when providing counselling services for gifted students: counsellor personality, student issues, the therapeutic environment, approaches used by the counsellor, and the counsellor's role.