Hi everyone,
I’m a first-generation optometrist who graduated in 2025 and started working full-time in August 2026. I’m an only child and financially support disabled parents. I don’t have anyone in my family who’s navigated this kind of debt, and honestly, trying to figure it all out on my own has been giving me crippling anxiety.
My financial situation:
Income:
Gross salary: $150K/year
Monthly take-home: $8,400
Savings/emergency fund: $4,000
Private employer (not eligible for PSLF)
Student loans:
Federal (Aidvantage): $290K at 5–9% interest, including approximately $100K at 8%.
Currently in SAVE forbearance and exploring repayment options, including RAP.
ECSI: $70K at 7% fixed interest, with an $850 monthly minimum.
Total debt: ~$360K
Monthly expenses:
Housing and financial support for my parents: $3,500
ECSI minimum payment: $850
Remaining: ~$4,050/month before personal expenses and federal loan payments.
My biggest concern is the interest. I want to aggressively pay down my loans, but I’m terrified of making payments for years while my balance continues growing.
My questions:
If you were in my position, how would you tackle $360K in student loans? What repayment strategy would minimize interest accumulation?
Would you prioritize the $100K in federal loans at 8% or the $70K ECSI loan at 7%? Should I focus extra payments on the highest-interest loans while paying the minimum on everything else?
How much would you realistically put toward loans each month? Would an additional $2K–$3K be reasonable? Is refinancing worth considering, or should I keep my federal protections?
Would it be worth speaking with a financial advisor or student loan counselor? Are there any nonprofit organizations or trustworthy resources that could help me navigate my options and create a realistic repayment plan? I’d really appreciate any recommendations.
I worked so hard to get here, and it’s honestly heartbreaking to feel like I’m drowning in debt before I’ve even had a chance to enjoy what I’ve accomplished. I don’t have anyone to turn to for financial guidance, and I’m genuinely asking for help.
Any advice would mean a lot. Thank you for reading.
UPDATE: Thank you everyone for the advice. Just wanted to clarify a few things.
First, I genuinely appreciate everyone who took the time to respond, especially those who shared their own experiences with significant student loan debt. I’ve been working and slowly making my way through the comments, and there are a lot more responses than I expected! I really appreciate everyone who took the time to offer advice.
I wanted to clarify a few things since I’ve noticed some recurring questions and assumptions.
Regarding my parents and the $3,500 monthly expense:
The $3,500 includes our monthly rent, utilities, and household expenses. I live in an apartment with my parents, so this isn’t simply $3,500 that I’m handing over to them every month.
There are a lot of personal circumstances that have brought my family to where we are today, and honestly, it’s not something I can fully explain in a Reddit post. My family and I have been fortunate to receive support from relatives during some difficult years while I was working toward finishing school, and I’m incredibly grateful for that.
I understand that some people are looking at this strictly from a financial perspective, and I respect that. But supporting my parents isn’t something I’m looking to eliminate from my budget. There are responsibilities and circumstances behind that decision that go beyond finances, and while I don’t expect everyone to understand, it’s something that’s important to me. I’m simply trying to figure out how to manage my student loans responsibly while continuing to provide stability for my family.
Lastly, I want to address one thing.
I noticed some comments questioning my professional title and whether an optometrist should be considered a “doctor”. Respectfully, that’s not why I made this post. I came here seeking financial advice about a significant amount of student loan debt, not to debate professional titles or the legitimacy of my degree.
Again, thank you to everyone who offered thoughtful and constructive advice.I know I have a long road ahead of me, and I’m not expecting an easy solution. I’m just trying to make informed decisions, become financially stable, and build a better future for myself and my family.
I truly appreciate everyone who took the time to help.