in season 3 and 4. Ava/Rebecca had reconstructive surgery and then spiraled out with underlying BPD. 

as someone with BPD it kinda pissed me off how they portrayed it, especially with the part where she wet herself on the couch. and then for the next seasons, refer to her as alex’s “crazy/psycho ex.” 

idk. it would be cool to see an accurate representation on TV at some point to break some stereotypes!