“…ED often presents as increased reactivity, irritability, mood swings, and difficulty calming down once upset and can include higher rates of anxiety, depression, aggression, self-injury, and temper tantrums (collectively termed irritability Mazefsky et al, 2013 ; Pouw et al, 2013 ; Rieffe et al, 2011 ; Samson et al, 2015 ; Ting & Weiss, 2017 ; White et al, 2014 )). Additionally, ED makes a unique contribution to both internalizing and externalizing symptoms above and beyond a categorical diagnosis when examined in a sample of typical controls and individuals with a psychiatric diagnosis (e.g., Generalized Anxiety Disorder, ADHD, and ASD; (Cai et al, 2021 ). ASD-specific predispositions may increase risk for ED, including alexithymia and difficulty in identifying others’ affect (Rieffe et al, 2007 ), reduced flexibility in behavior and thought, intolerance of uncertainty (Cai et al, 2018a , 2018b ), executive functioning difficulties (Murray, 2010 ), poor problem solving (Cai et al, 2018a , 2018b ), limited coping skills (Jahromi et al, 2012 ), sensory sensitivities (Rogers & Ozonoff, 2005 ), and biological risk (Cai et al, 2018a , 2018b ; Mazefsky et al, 2008 ).…”