I have been lurking for a while and decided to throw in my two cents.
I did not match during last year, and I went through many of the distressing thoughts and emotions many of you are experiencing. I thought it was the end of the road for me as far as becoming a clinical psychologist. Many of my friends moved on to their internships, and I felt sorry for myself for weeks as I continued to plug away with cover letters to clearinghouse vacancies. Facing adversity is when true character and integrity often manifest for me, and I suspect many of you who have not matched are neck-deep in this challenge right now. You have got to tell yourself that no matter what happens, you will follow what you believe is your destiny.
I utilized a spiritual approach to coping with not getting matched last year, and it was efficacious. The following bits I explain probably may not be something that soothes you now, but you may look back on it fondly. Basically, you are exactly where you need to be right now. For whatever reason, you are likely highly qualified and left unmatched and may or may not match on Monday. Sure, you will feel dejected and quite possibly disillusioned with your chosen path of becoming a psychologist. Let me say it again, though: You are exactly where you need to be. Perhaps an extra year would help you to finish your dissertation while your cohort members are struggling to complete theirs during an internship that is extremely busy already. Perhaps you will fine-tune your clinical skills and make some money on the side for a year. You may find that you were not meant to go to any of the internship sites you applied to this year...perhaps there is something better waiting for you next year. This was the case with me.
I had what I thought was an excellent interview with a non-APA site during the clearinghouse process last year. At this time, I was feeling desperate for any internship that would take me. Fortunately, I did not receive an internship offer for that site. I eventually decided to no longer entertain clearinghouse vacancies and start working in a private practice while finishing my dissertation. This time around, I landed an APA-accredited site that matches with my clinical goals 100 percent. My life would be completely different had I matched with that non-APA site--I would have missed this stellar internship opportunity that I did not apply to during last year's initial match process.
It is not about taking a year off and being "behind" your cohort; we will all be in the same boat as psychologists. Your colleagues are not going to point at you and say, "Too bad you're a year behind me, so you have nothing to offer me in terms of consultation." It is about understanding where you are in life, making a plan to improve yourself, gaining more clinical experience, research experience, and life experience (or some combination), and seizing the moment. You may feel trapped right now, and I believe this is completely normal to feel. However, time and again life has illustrated to me that many things happen because they need to happen in order for you to learn something or experience something in life.
Always remember that when one door closes, another door opens.