School counselors work individually and with other educators to meet the developmental needs of all students, including those with special needs or disabilities. In this article, the results of qualitative research are summarized involving comparative case studies of university students who were both academically talented and learning disabled. These students encountered negative experiences during the elementary and secondary school years due to this dual exceptionality that affected their social and emotional development. An in-depth analysis of their educational experiences enabled researchers to probe their perceptions, and a summary of these findings is presented in this article. Implications for the role that school counselors can play in the identification of students with this profile are discussed, as is the need for the provision counseling services for this population within the context of comprehensive developmental school counseling programs.