We provide a detailed description of a purposefully sampled tutoring session during which a student with a learning disability displayed common tendencies we have seen in our work on algebra teaching. The student struggled with solving equations in general and especially with distribution and knowing how to distribute terms and what steps to take in the correct order. The tutor responded by helping the student offload information, gesturing while speaking with the student, and asking questions strategically to both support and challenge the student to think critically. The purpose of this paper is to provide, through a case study, an accessible description for teachers and researchers of how students with learning disabilities interact with algebra and how teachers can support and challenge these students in this context.