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Exams are tough and they cause teenagers stress—not just in the US, but in England as well, where the kids have a higher stake in the tests.
Students who attend more selective schools and those who attend schools attended mostly by women post more about mental health issues.
Being a student at a highly competitive high school has its good points, but many students bail out at the first sign of stress.
When you're under stress, like taking a test, you don't retrieve info as efficiently from your brain. Practice tests can help with that.