I'm at a loss as to what I can or should do for my son at this point, if anything.

I didn't realize I'd posted here years ago so I guess I'll give some follow up details. 11yo M, 5th grade.

Test #1: He scored 152 composite on his CogAT (132 V, 148 Q, 151 NV)
Test #2: We live in a high-SES, highly educated area. His local percentiles for Terranova reading and math respectively were 58.5, 82.7. (National percentiles 88.7, 97.9.)

Other exceptionalities: Diagnosed ADHD and currently on guanfacine but no stimulant. Sensory processing and ARFID. Anxiety and panic disorder. Then a major physical disability, spina bifida.

My son is a perfectly adequate student, getting 3s (average) and 4s (exceeds expectations), mostly in math. Occasional 2.5. He sees a therapist and psychiatrist for management of mental and behavioral health diagnoses. He's got a lot against him, even as he's obviously very bright. I pulled him out of the gifted program at school for a couple reasons, but mainly that it seemed to be a source of anxiety rather than support to him.

The discrepancies between his two tests have me wondering if I'm just... missing something? A learning disability? Is this just how it goes with 2e kids? I'm wondering if the rest of his education is just going to be keeping his head above water with regards to his mental health and he's going to have to lean on his intelligence as more of a crutch than a gift.

He qualifies for exactly nothing in our district beyond the pull-out program that was a bummer. I've been homeschooling him in math to help him be challenged but that's all I have the energy for given everything else.

Other parents who have been in similar situations, what should my mindset be? Thanks in advance.