Popular accounts of autism often portray people with the condition as emotionless automatons. Yet more than a decade of work has convinced Pitt psychologist Carla Mazefsky that emotional dysregulation—which is the inability to control emotional responses—plays a key role in autism. Mazefsky specializes in kids on the far end of the autism spectrum who are prone to aggression. This Pitt Medcast was inspired by Carrie Arnold’s story from the Fall 2018 issue of Pitt Med magazine, which was a finalist for a 2019 Golden Quill Award from the Press Club Of Western Pennsylvania. Read by Elaine Vitone and Luisa Garbowit. Produced by Luisa Garbowit, Janine Faust, and Elaine Vitone. Our executive producer is Erica Lloyd. Music by Lee Rosevere, Sylvie Walder, and Poddington Bear from the Free Music Archive.