This article explores how to conceptualize the case of cognitive behavioral therapy for Asperger's syndrome. A junior high school boy often conflicts with his classmates and cannot adapt to the class environment. He has aggressive behavior, when the emotion is unstable, which brings safety risks to himself and others. After being referred to the diagnosis, it is diagnosed as Asperger syndrome. Under the guidance of the psychology teacher, who helped him express and vent his emotions through sand table games, providing emotional support. At the same time, he uses cognitive behavioral therapy (CBT) to help him adjust his cognition, manage his emotions, and learn basic interpersonal skills. After one semester, with psychological counseling, his aggressive behavior is greatly improved, and it basically adapts to the class.