We apologize to readers if we were unclear about our reasons for calling for the abandonment of the HADS and we thank Sam Norton and colleagues for providing an occasion for us to clarify. Our jumping off point was indeed a review by Cosco and colleagues demonstrating considerable inconsistency in the latent structure of the HADS. However, for us, the Cosco et al. analyses served as an impetus for considering the numerous structural, conceptual, and psychometric problems of this instrument that have led to wildly inconsistent findings and recommendations for cutpoints in what has now become a thoroughly confused literature.