MENTAL STATUS EXAMINATION: Patient came to both interviews appropriately groomed and dressed. He appeared his stated age. He spoke with a normal tone of voice. His speech was pressured and rapid but clear. He manifested flight of ideas and occasional looseness of associations. He had paranoid ideations which occasionally bordered on a delusional level.


Although of course all gifted individuals are unique, they do share certain characteristics. Some of these are present naturally, others have come into existence gradually through interaction with the environment. Cause and effect can therefore not always be distinguished from each other.

Speed of thinking. Gifted individuals think more quickly than others. They make many mental switches, associate rapidly and give the impression that they jump from one subject to the next.

High sensitivity. A higher development potential often is accompanied by high sensitivity7. This high sensitivity manifests itself in different areas: psychomotoric, sensorial, intellectual, imaginative, emotional,7 and can resemble ADHD.

Over-stimulation of the senses manifests itself auditively (machines, radios, smacking lips), visually (light sources) or sense of touch (certain fabrics, labels in clothing, or touching). Currently, there is a high level of interest being shown in high sensitivity in general8.

Introversion. The internal world of the gifted is particularly well-developed. They are quickly and easily hurt, which is why they tend to keep people at a distance. Some avoid parties and suchlike since the topics of conversation do not interest them. This can resemble autism9. Introversion can also arise through having the feeling of being rejected. People with high IQs would seem to have difficulty meeting like-minded people, which can quickly lead them to become isolated10.

Emotional development. Many gifted individuals feel emotions strongly. But because cognitive thinking dominates and provides safety, emotional development remains relatively underdeveloped. They have difficulty in linking feelings and reason. This can be reinforced when an individual has felt lonely from a young age. For example, when the environment does not acknowledge or recognize the child as being gifted. Fortunately, the emotional development of many gifted individuals has progressed well.

Creativity. The thought processes of the gifted differ from those of average intelligence: they are more global in nature and with a strong capacity for imagination. Averagely intelligent people can often not follow their train of thought. They can identify patterns quickly, so that they can, for example, predict trends successfully. They can often draw conclusions intuitively. This creativity is often frustrated by the regular education system.

Independence. The forming of judgments and opinions often takes place autonomously. They are non-conformist and therefore display what teachers easily label as ‘inappropriate behavior’11. This independence accompanies the creativity mentioned above. They often have an aversion to non-democratic authority12.

Perfectionism. Perfectionism is often accompanied by having too high expectations of others, but also with shame, guilt feelings and feelings of inferiority through not being able to meet their own high expectations 9,13. This leads to tension and occasionally ‘paralysis’.

Learning style. The learning style of the gifted is often exploratory. They have an extreme dislike of learning lists, they find it uninteresting and become bored12. Often, they do not understand the teacher’s questions or the questions in the text books, because they are looking for things that aren’t there. This leads to frustration. Some gifted adults lack basic knowledge but have a lot of knowledge in areas that they are interested in. They often fail to develop learning strategies because they never learn from their failures9.

Fear of failure and under-performing. If their intelligence is not stimulated, children often develop bad working habits14. They sometimes think that they are stupid, become afraid of failure and start under-performing9. Their motivation to learn decreases. This can result later in frustrations and disappointments in their career.