There are several well-characterized rare developmental phenotypes caused by CNVs of known pathogenicity, such as Velocardiofacial, Prader-Willi, and Smith-Magenis syndromes. Although the role of most CNVs is far less clear, there is now growing evidence that the genetic architecture of more common psychiatric and neurodevelopmental conditions includes different types of both common and rare genetic variation.1 An increased burden of rare CNVs has been observed and replicated in several conditions. These include autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disability (ID), as well as schizophrenia. CNVs also contribute to risk of idiopathic epilepsy.