The critiques also illustrate a number of points about DSM and psychiatry. For one, there is a belief that psychiatrists somehow create mental illness when we list new disorders—perhaps to drum up business. In reality, we are reacting to the prevalence of psychopathology as the literature moves the field forward. Interestingly, there are nowhere near enough psychiatrists to care for all the patients with major psychiatric disorders in our country. Psychiatrists do not have to look for business. Second, some of the push-back reflects stigmatization of psychiatry and of patients. A good example is the diagnosis of mild neurocognitive impairment that is equivalent to the diagnosis that neurologists use for mild cognitive impairment. Our neurology colleagues are not criticized for identifying and naming this disorder. Third, everyone experiences some uncomfortable or difficult emotions, and it is easy for people to extend those experiences to believing they have a disorder—much as many of us as young medical students developed in our minds all sorts of serious illnesses when we studied pathology. Yet, DSM is clear that there needs to be a threshold of symptoms and of distress before a definitive diagnosis can be made.