I agree with Szasz and Hoeller with one exception. Problems in living can become so debilitating and impairing that people are unable to function in a healthy way and are severely ill. So the states of being and behaviors that are called “mental illnesses” are not just behavior that people find repugnant, off-putting, scary or immoral. They are more seriously impairing than that. Szasz didn’t pay enough attention to that fact.