Students requiring Tier 2 behavioral supports frequently display behavioral deficits in multiple domains (e.g., emotional symptoms and peer problems). The Tier 2 framework developed by McDaniel, Bruhn, & Mitchell (2015a) is a responsive structure for identifying and intervening at Tier 2. This process is described with a practical case example of a student with multiple areas of risk. Stacking Tier 2 behavioral interventions for students who score in the "abnormal" range in multiple areas on the Strengths and Difficulties Questionnaire is described. A description of this process for delivering Tier 2 supports and the results from the case example are presented.