Thinking in pictures is a distinct cognitive style characterized by the dominant use of visual thinking. Temple Grandin's autobiographical account is the best-known description of visual thinking but there are few first-person accounts of this inner experience. The aim of this paper was to gain further insight into the lived experience of a “thinking in pictures” cognitive style among autistic individuals. To do so, we used qualitative methods to analyze self-reported descriptions of visual thinking by individuals with self-declared ASD. Results indicated that people who reported a visual cognitive style described a phenomenology and a cognitive style that closely paralleled Grandin's. However, many individuals also reported verbal communication issues related to this visual cognitive style. These results allow us to better characterize this particular cognitive style, and also to better understand its involvement in learning situations and social interactions.