Nearly one million people kill themselves every year, a staggering statistic that translates into someone taking their own life every 40 seconds. By the time you have finished reading this paper, 45 people will have killed themselves. This is very conservative estimate because suicides and attempted suicides are widely under reported. Still, we know that suicide has been rising steadily since 2000. And researchers fear that the number of suicides will climb even higher, a wide-reaching effect of social isolation, anxiety and heightened economic distress brought on by the pandemic. What leads a person to become suicidal is complex. There is never a single cause. In this paper I will explore a theme that pushed my patient, Zoe, to that dangerous ledge: a loss of “twinship” or a sense of being human among human that left her feeling like a freak—cast out of the world of “normal” people.