Advances in techniques for detecting submicroscopic chromosomal abnormalities have meant screening for rare CNVs in idiopathic ID has become increasingly commonplace. Rare, syndromic forms of ASD and other psychiatric disorders will likely require similar types of assessment and counseling. However, for most children who are under the care of child psychiatrists, it seems unlikely that routine CNV testing will become established practice in the near future for the majority of individuals unless perhaps they also have ID or multiple developmental morbidities. Prevention and treatment strategies based directly on genetics also remain distant.