Although ADHD may be overdiagnosed in gifted children, ADHD and other disabilities can also be overlooked in this population. Young children in particular may be able to compensate for their disabilities to the point where these weaknesses are effectively masked by their giftedness, delaying a diagnosis and intervention. Such twice-exceptional students may be able to perform just well enough to avoid identification, which is often tied to below-grade-level performance. Some students may not be identified until later grades when schoolwork becomes increasingly taxing. This article describes alternative diagnoses, strategies for finding a professional, treatment options, and educational accommodations. (Contains 3 figures and 13 resources.)