It seems some people are predisposed to various MH issues so I suppose a person can be born with it.

I don't know if this is in the ballpark or helpful, but as early as I can remember, I felt lower than others. It started with feeling that my siblings were better than me way back when I was 3 or 4. Same thing in school. Now, I didn't have any MH symptoms as a child, they didn't really start to manifest until my mid-20's. I have always felt outside this world, not even human really.

I can't help but think that the extremely low esteem, which I seemed to have been born with, is the root of most of my issues.