My 10 yr old son has a very similar profile on the WISC-IV (144 VCI, 113 PRI, 128 WMI and 91 PSI). The lightbulb moment for him (and us) was occupational therapy. I was very sceptical, it cost more than $100 / session and as far as I was concerned he could run and jump with the best of them, what on earth was OT going to do. Guess I am not that smart. The biggest change was in his handwriting - the OT guy said that his pencil grip was the worst he had even seen but now it is completely normal, still a bit slow, but very neat and not hard work for him like it was previously. I have no idea what hanging off trapezes and rolling down hills (part of the therapy) does for handwriting skills but I am now a firm believer in it! Honestly, it was worth every cent. I also agree with Cricket2, it has taken me two years of agonising over the nuance of every single score and now I kind of go with the flow so to speak. Yes, DS may not have the best processing speed in the world, but gee, he writes amazing poems and blows his teacher away with the language he peppers his stories with. He will find his space in life that matches his skills, he may not be an air traffic controller but he may take the world by storm with his power of the written word.