 To accommodate exceptions that seem neither distressing nor disabling (such as manic states), mental disorder is sometimes characterized not by distress and dysfunction but by raised risk of such outcomes (Gert &amp; Culver 2004). But risk of disorder is not disorder, and risk language invites troubling issues around over-diagnosis and false positives ((Schwartz 2008; Stein et al. 2010; Bolton 2013; Broome, Fugar-Poli, &amp; Wuyts 2013). 