I also was a high-achiever until I became ill. Once ill, I came to terms with my illness yet my parents could not for a long time. With an illness, I managed to graduate from a professional graduate program but could not use the degree. It was a complete waste of money. I now teach and am happy. My parents expected me to become a surgeon but those days are long gone. I am happier now that I am doing what I can to survive on my own. I don't earn much and keep to myself. I am satisfied with myself despite how my parents see me. I have known other Ivy league graduates who think that more is expected from them. I think the pressure of getting into an Ivy League must have been tough. I understand your feelings of inadequacy because you are comparing yourself to other graduates from Ivy League colleges. I stopped comparing myself to others a long time ago. I am happier with myself. I try to do my best still within my capacity. I would not worry too much what others are doing but worry more about what you can do. This matters more not only for your self-esteem but also your own expectations. I am at the age where people have mid-life crises and try to find themselves again. I believe I found myself and am satisfied with my life. I hope you find yourself too and gain satisfaction from what you can do.