I gave it 5 stars just to be a dick. But really! It's just a fucking book. Relax already. I know managed care sucks. But try to imagine what the fields of psychiatry and clinical psychology were like before diagnostic criteria and strict licensure standards. Running with scissors anyone? P.S. check out Nicole's review. She has read it "front to back several times"?Wow! That's hard core. I love nerding out on this stuff as much as the next guy, but dangalang, reading (and re-reading) a reference manual? Cover to cover? Its like 900 pages. Why would anyone willingly do that?