Exceptionally bright and capable students with learning disabilities, often referred to as being twice exceptional, may fail to meet learning disabilities criteria if a strict psychometric approach is taken. To make an accurate diagnosis, an evaluator must consider their special circumstances, unique abilities, educational histories, and outstanding areas of competence. This article describes three cases of students in different stages of postsecondary education who possess high abilities and talents, but also struggle with aspects of reading performance. Six cautions and considerations are discussed. (Contains 1 figure.)