Hello SDN, I've been a long time, intermittent lurker during medical school. However, recently, I was dismissed from my D.O. program for failing the COMLEX Level 1 three times (our school's policy). I appealed the dismissal but the appeal was not granted. So, here is some background... I was fighting through depression and anxiety throughout medical school, but it came to an all time high while I was preparing for the COMLEX due to serious family issues, personal financial issues, and my own health issues (I could not walk without extreme pain and was in constant pain throughout). I take complete responsibility for not taking a leave of absence and taking time to work out my personal problems before sitting for the board exam. In all honesty, I was being stupid and fooled myself into thinking that if I could just take control of my studies, I could forget about my personal problems. Obviously, I was kidding myself and I failed the COMLEX Level 1 three times. All three times, my scores were around 390 and my COMSAEs all predicted scores of higher than 500. All three times sitting for the exam, I experienced test anxiety and panic attacks. Now, you might ask why I didn't get treated for that if I experienced it three times... well, I was ignorant and brushed it off as being nervous. Again, completely my fault for not getting more help. This was roughly 6 months ago. During the 6 months, I've been getting treated, taking care of my financial issues, and resolving my family issues. I am still "sick" but in much better condition than I was 6 months ago. I KNOW I made horrible choices, but I am still passionate about the medical field. However, I'm also feeling very discouraged... for obvious reasons of course, but also because of my age (30's) and the fact that I have student loans accumulating. I've searched other threads and I do know that a dismissal, especially for board exam failure, is nearly a death sentence. However, I would still like to try all that I can to get back to the medical field. I am definitely open to other career options; however, I'd like to stay on the D.O. path if possible. (I've reached out to my school to see if I can reapply, but the Dean of Students told me that he has never heard of a dismissed student getting back into the program.) Right now, I planning on reaching out to the admissions departments of D.O. schools for a chance to apply (I know that some/most schools do not allow dismissed students to apply.). I am also considering applying to Caribbean schools and podiatry school (I am not too familiar with other health care programs.). I am also planning on retaking the MCAT. I would appreciate any advice, suggestions, insight, or similar experiences anyone would be willing to share. Again, I know my situation is horrible, but I am determined to try and I know I could succeed if given a second chance.