Having an IQ of 160 or above is not a life of sitting on clouds thinking deep thoughts about how string theory is obviously wrong. You run especially hard into the nurture trap so often discussed here.

That is, hearing,"You're so smart," so many times, from teachers, other students, coworkers, bosses, etc., cultivates a sense of elitism and a shock when something is actually difficult.

You're also bound by the same emotions as most other people. If you're a particularly aggressive or irritable person, imagine being surrounded by people who keep making mistakes because they're stupid. If you turn it outward, you're impatient at best and a bully at worst. If you turn it inward, you're stressed out, anxious, and depressed.

All of that said, being a professional programmer was the most satisfying thing I've done. Unfortunately, I moved on precisely because of the above paragraph -- I had managers I felt were particularly dim.