This chapter provides a critical review on the topic of counseling the gifted. The chapter takes the position that a scientifically defensible approach starts from the perspective that the counselor or therapist follows a model of evidence-based clinical practice. Evidence-based clinical practice, according to the authors, is defined as the integration of the best available research with clinical expertise in the context of understanding the world of the gifted youngster. A clinical case is presented to help illustrate evidence-based practice in working with a troubled gifted adolescent.