I'm sorry, but these days those are the same thing. If anything, this opens the door for MORE medicating of children. Which is precisely my worry and my growing concern that while the panel determining the DSM swears it has no self-interest and no ties to drug companies, the changes in the last two have both forced me to be less confident in that. We are having a real shift in this country to believe that everything can be explained by "mental illness". For one, as you talk about slightly later in the post, people have trouble seeking out mental help. But here's the thing, there are always going to be limited resources - insurance companies are not. How we meet the need beyond those resources is with drug companies. So health insurance to me, is a lame excuse. If we continue to expand the realm of what qualifies as a "need" we'll be unable to meet it regardless of how health insurance is constructed. Personally, I'd much rather reserve mental health diagnoses and services for those that truly need it. I think we're getting away from that with this constant expansion of the definitions. What happens then is the truly needy get lost in a sea of people who aren't nearly as needy.