Sitting in my chair reading the chart on Gena, I realize she is one of our most intriguing people. When Gena came to us, she had been working on her doctorate in molecular engineering and was active in extracurricular activities. She had been diagnosed with bi-polar disorder in1993 and, subsequently, with schizo-affective disorder. Her first breakdown came while working on her master’s degree in microbiology at a local university.