In a previous article, we provided a review of the literature pertaining to the potential misdiagnosis of giftedness as ADHD, as well as a small-scale study to illustrate this potential misdiagnosis. In this issue of Roeper Review, Mika provides several criticisms of that paper. In this article, we provide responses to her arguments by discussing the "symptoms" of giftedness; the relationship between ADHD, giftedness, and overexcitabilities; and the diagnosis of ADHD.