Members of the 13 DSM-5 work groups have reviewed every comment (see DSM-5 Work Groups Assess Thousands of Comments) and in April began revising some criteria sets. Correspondence from patients and advocacy groups was very informative. Prior to the launch of the Web site, APA conducted a telebriefing with 20 consumer and family advocacy organizations, including the National Alliance on Mental Illness and Mental Health America. These groups were asked to carefully review the proposed criteria so we can ensure that changes to DSM are considered in light of their "real-world" impact but without compromising scientific integrity. Many of these comments noted that patient issues, such as stigma, treatment accessibility, and insurance reimbursement, are important considerations in the revision process. For example, the Neurodevelopmental Disorders Work Group put forth a proposal for combining the disorders of autism, Asperger's disorder, and pervasive developmental disorder not otherwise specified into a single category called "autism spectrum disorders." This proposal garnered more than one-third of the nearly 2,000 Web site comments submitted to the Neurodevelopmental Disorders Work Group—with many arguing against the change. While the work group members conducted a thorough review of existing data and research literature in reaching their recommendation, the comments underscored an additional piece of evidence—that of patient self-identity. Many criticisms indicated that some individuals diagnosed with Asperger's disorder (self-designated as "Aspies") have developed a strong sense of uniqueness and belonging built around the diagnosis, an identity that is often supported by their families. Categorizing them in these other diagnoses, they argued, would deprive them of their identity and associate them with diagnoses that are more stigmatizing.