This paper discusses the characteristics of children who are gifted and have attention deficit hyperactivity disorder (ADHD). Seven principles to reach and teach gifted learners with ADHD are recommended: (1) remembering that these learners have needs just like other children in their age groups; (2) having realistic expectations in helping these learners develop and utilize their strengths; (3) providing assignments that are stimulating and at their level of achievement and utilizing interactive teaching strategies, such as cooperative learning and reciprocal teaching; (4) providing structure so that these children can recognize and respect limits; (5) recognizing perfectionism and using this attribute to build self-esteem; (6) teaching problem-solving techniques; and (7) using the "Five M's Approach": mediation, management, modification, modeling, and mothering (fathering). (CR)