In the extensive literature on therapeutic interventions for children and adolescents on the spectrum, dream sharing and interpretation is not regarded as a useful source of therapeutic exploration. In this article, the use of dreams in individual and group psychotherapy treatments for adolescents on the high end of the autism spectrum is described. In both treatments, reporting dreams helped to convey the patients’ inner world and enabled them to share their experiences with each other. In individual treatment, the reported dreams captured the progression from formless to more defined desires. In group psychotherapy treatment, the shared dreams enabled group members to connect with each other and participate in discussions through their own reactions. In both treatments, the sharing of dreams contributed to creating a space where young clients on the autism spectrum were able to express themselves and seek feedback and reactions from each other.