Children and adolescents with disabilities are an extremely heterogeneous group of diverse learners, each with unique learning strengths and needs. Often misunderstood and frequently less served by the counseling profession, these children and adolescents need counseling services just as much as, if not more than, other children. Federal legislation makes it imperative that all counselors who work with children and adolescents, even those not working within public school settings, be knowledgeable about the identification of and services for those with disabilities. In addition, all counselors have a professional and ethical responsibility to facilitate conditions that promote the full potential for all individuals, including exceptional groups. This article presents a discussion of identifying characteristics of children with developmental disabilities, physical and neurological disabilities, and attention deficit hyperactivity disorder, as well as a range of counseling approaches that have proven beneficial for specific groups of children and youth with disabilities.