Twice exceptionality can manifest itself in a variety of ways. A student who excels in math might struggle in language arts because of dyslexia. A student might be a distraction to his classmates because he is not being appropriately challenged by the material. A student on the Autism spectrum might not be able to participate effectively in group projects. A straight-A student might forget or lose her homework because of ADHD. An otherwise brilliant student might fail tests due to anxiety.