Although children with autism experience varied emotions, they may have difficulty identifying (understanding and labeling) these emotional states both in themselves and in others. Therefore verbal regulation of these emotional states can also be extremely challenging.

Example: When experiencing great distress, a verbal child with autism continually asks others for monitoring of his emotional state "Am I under control yet?" He has limited awareness of when he is calm versus extremely upset. In another instance, the child is laughing, inappropriately, when others are hurt, embarrassed, etc. Another child, with Asperger's Syndrome, physically manipulates his face when requested to exhibit various emotional states.