I was considered gifted. I was raised by parents who never showed me any affection, so I excelled in school because being praised by teachers was the only way for me to receive positive attention from a caregiver figure. I ended up crashing after high school and had to do the long, arduous work of treating my deep-seated psychological trauma. I ended up developing an autoimmune disease when I turned 18, likely from the chronic stress, but it's infinitely better than constantly ruminating about how nobody will ever love me unless I get an A++ in every class. I am suffering decidedly less these days.