There's a tendency to view a failed exam as the moment at which the problem started. No, it's just the inevitable moment at which I couldn't hide it anymore, like a runaway train reaching the points. The exam is collateral damage, or the delayed casualty of a long term issue, or just an instant that will pass while the real problem persists. Don't simplify it. Acknowledge it.
If anxiety at school were an industrial disease, an F grade would just be the cough.
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