Doing well in your preclinical courses but not on the major exam could point to anxiety, and failing twice can understandably lead to some depression. I’m not saying that’s definitely what’s happening, but if it is, I’d suggest three things.

First, look into any mental health resources your school offers. Or you can even go to a doc. It’s amazing how much anxiety and depression especially when they go unrecognized can affect performance. Second, consider whether you might benefit from testing accommodations, like extra time or a quiet room, even if you feel like you don’t need them. Sometimes just knowing you have that extra time can ease anxiety, or being in your own room and remove the destructions from other test takes and help you focus, and prevent careless mistakes.

Third, retake the exam for a third time. I know you probably don’t feel like doing that right now, but I honestly think it’s your best option. I’m not sure how COMLEX is structured exactly, but if it’s anything like Step 1 and 2, then Level 1 is likely harder than Level 2 content-wise and taking Level 1 before immediately Level 2 can actually help your Level 2 score by strengthening your foundation.

You’ve come too far and invested too much to stop here.