A school psychologist briefly describes the use of academic coaching with gifted students who are underperforming possibly because of a disability such as attention deficit hyperactivity disorder. Coaches are urged to first, review the student's assessment data; second, determine the student's ability to benefit from coaching; third, determine that the student has enough motivation to improve his/her academic performance; fourth, identify the student's academic strengths and weaknesses; and finally, develop an action plan to teach techniques needed to improve academic performance. Techniques may cover such skills as organization and study, test preparation and test taking, note taking, goal setting and career planning, problem solving and conflict resolution, and transferring learning into daily practice. Coaching in such skills is likely to provide valuable life skills as well as enhance academic performance. Two case studies are offered to illustrate the techniques and effects of academic coaching with twice exceptional gifted students. Academic coaching is seen as more flexible than psychotherapy and better accepted by society. Noted is possible insurance coverage of academic coaching under some circumstances. (DB)