One thing I noted from the article that I see in the students I know. Most of them will accept the "top rated" school they get into irregardless of fit. I remember asking one young woman a few years back why she chose X Ivy League, and she honestly said "it was the best school I got into."
Yes! This! And it continues, too..."best" law/med school, "best" specialty, "best" corporate firm/hospital,... until the body, mind, or both can't take the constant pressure (or the drudgery of doing something outwardly prestigious that they hate) and they snap. The brightest people are starving themselves of food, sleep, exercise, and human contact, then fail at being Perfect while operating 18+ hours/day in The Ideal Role and suddenly have a crisis of identity. Because, if they can't be superhuman, then clearly everything they thought they knew about themselves must be discarded.
And then this happens, and they feel like imposters in their own skin:
http://hyperboleandahalf.blogspot.ca/2013/05/depression-part-two.html?m=1
