I'd recommend that you do everything you can to make the present as fulfilling as possible, and imagine something you would love to do in the hypothetical world outside of medicine for a year. Being engaged in something quite apart from your premedical plans, even if that engagement is just a remote fantasy you've always put on the backburner, makes the application process MUCH easier. When you can become happy with your present circumstances, surroundings, and prospects, the worst-case scenarios of your medical plans become more manageable. Sometimes, those worst-case worries will even become non-existent, because when you take a step back from the grueling application hazing rituals of medicine, you realize that you have all the time in the world to get passed them. The confidence instilled in someone who can face the bleakest prospects of one goal and still find contentment in his/her "plan B" translates very clearly into strong interviewing. Trust me on that; I'm no zen-master of interviewing, but I know that the mind functions better on display when calm and collected. The interviewing attitude can subsequently evolve from one of intense fear, where the weight of the world hangs on each response, to an adventurous outlook in which you feel you have very little to lose and everything to gain for the attempt.
good luck this year, and have fun whenever remotely possible.
~DB