That psychodynamic concepts can be utilized in the multimodal treatment of children with autistic spectrum disorders (ASD) almost seems to be an oxymoron in the contemporary general mental health community. It may be that the mother-blaming/refrigerator-mother conceptions of the 1940s and 1950s have turned the mental health community, as well as parents, away from psychodynamic considerations in the treatment of ASD to treatments other than dynamic ones. This is a report of a patient with ASD who was interviewed on video by his therapist/analyst at the age of 19 after obtaining informed consent. The interview reviews their work together, which had begun when the patient was three and a half and who was not really talking well past his sixth birthday. We conjecture that the addition of a psychodynamic approach contributed to the developmental gains.