No Kill I

While it's true that many gifted individuals have common problems fitting their way of thinking to the more average way of thinking, many of us do not run into those problems -- and many of us do not have anything like the social issues Sherlock has. In fact, none of the people I know who are extremely gifted (say, IQ more than 150 -- and I know a lot more of these than most people do, for various reasons) have Sherlock's social problems, at least not into adulthood. (For these purposes, let us define adulthood as age 25. This is somewhat later than the common definition but allows for full neural maturation.)

So yes, I agree that Sherlock doesn't accommodate. I think most gifted people choose in which areas they will and won't accommodate; it is quite rare, in my experience, that they choose "none" (which seems to be what Sherlock has chosen).