Though women have struggled successfully to achieve increased social and career options, they may have had to pay an exacting price in the process: excruciating life decisions about career, families, and children; strains on their relationships with their children and husband; the stress resulting from making and living with these decisions; and confusion about who they are and who they want to be. From this perspective, it is understandable that women should be more closely associated with BPD, a disorder in which identity and role confusion are such central components.