This "collateral damage" can be extensive and, as Drs. Lieberman and Fenton described, can impose "a significant burden of terror, suffering, and bewilderment on patients and their families" (p. 1728). Specifically, impairments in functioning can disrupt adolescent and young adult development at a crucial and already complex stage of life. Other potentially associated problems involve stigma, embarrassment, isolation, loss of mastery and control, diminution of self-worth, a disrupted educational and/or professional trajectory, a wounded capacity for therapeutic alliance, and a hindered capacity to participate fully in treatment decisions. Research can be very useful in delineating specific ways in which collateral damage evolves and how delays in identification and treatment occur.