Psychiatry, and the delivery of mental health services, continues to be burdened by negative perceptions. Although some progress has been made, stereotypes continue to contribute to the "starvation" noted by Dr. Appelbaum. We should acknowledge that the mental health system has on occasion contributed to these perceptions by taking advantage of funded services. Lack of diagnostic rigor, protracted inpatient stays, failure to attend to postdischarge relapse prevention, unnecessary polypharmacy, subtherapeutic dosing, lack of attention to comorbid medical conditions and the needs of special populations, the provision of outpatient psychotherapy with little evidence of clinical progress, and the lack of patient education all contribute to the public's negative views. In the face of such perceptions, it is perhaps not surprising to see funding cuts as cited by Dr. Appelbaum.