How is it that psychiatrists, psychologists, social workers, family therapists, and others who provide mental health support and treatment lose sight of the human being behind the symptoms? One datum the authors offer is that the number of categories in the American Psychiatric Association's DSM jumped from 66 in the first edition to 286 in the fourth edition. With so many categories available, it has become easier for the client to become identified by a label, which all too often then dominates discussion and direction in treatment. Given the time-limited treatment and brief sessions covered by payers, little time is available for the client to disagree or debate with the professional's formulation and diagnosis. Thus we lose the human being and are left with treatment that is driven by diagnosis and by medication. The therapist and the client both lose when this happens.