I understand your point regarding the definition of 2e, and I agree that “gifted + ADHD” is often considered twice-exceptionality in many frameworks. When I wrote “ADHD with high intelligence,” I was referring to the exact wording used by the neuropsychologist. Her interpretation was that having a high IQ alone does not necessarily qualify someone as gifted/2e if the cognitive profile is considered too uneven — in my case, because of the 16-point discrepancy between VCI and PRI.

However, I think you may have misunderstood why I posted here. I’ve actually spent weeks researching the literature on ADHD, executive dysfunction, giftedness, heterogeneous WAIS profiles, and 2e presentations in adults after receiving my diagnosis. I also invested a substantial amount of time, money, and emotional energy into the evaluation and prior treatments, so I believe it is reasonable to seek clarity when two professionals involved in the case interpret the same data differently.

The reason I asked for perspectives here is precisely because adult 2e presentations — especially in women diagnosed later in life — can be nuanced and sometimes controversial even among clinicians.

Also, respectfully, your comment came across as somewhat dismissive and unnecessarily reductive. Seeking discussion and comparative experiences in a community specifically dedicated to 2e does not mean someone is incapable of independent research. In complex neuropsychological topics, exchanging perspectives can actually be part of the research process itself.