I will not use anyone's real name but a pseudonym. Yesterday I met Sally. She has struggled since grade 6 with depression, expressed as low self worth. At this time her weight. She has friends, enjoyed school and had a loving family. Excepts she always felt she lived in her sister's shadow, 7 years older. She decided to go to the same high school as her sister and had to start again to create a social circle. She was not feeling depressed and by the end of grade 9 had found friends. However, grade 11 and 12 she struggled again with a depressive episode.