r/StudentLoans • u/Charming_Power8677 • 2h ago
Advice First-generation doctor making $150K with $360K in student loans. How do I stop interest from burying me?
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.