I'm not going to sugarcoat it: I bombed the Praxis SLP exam twice before I finally passed last month. First attempt I got a 151, second a 154, and I needed a 162 for my state. I was starting to wonder if I'd ever finish my CFY and actually get licensed. The problem was I kept studying the same way — rereading Shipley-Witten and hoping something would stick.
What actually turned things around was switching to active recall instead of passive review. I found a good SLP practice test that simulated the actual question format, and I forced myself to do timed blocks of 30 questions without looking anything up. My weak spots were fluency disorders and AAC — stuff I hadn't touched since second year. Once I identified those gaps I stopped wasting time on articulation stuff I already knew cold.
Third attempt I scored a 168. If anyone else is stuck in that 150s purgatory, I promise you it's not that you're bad at this. It's probably just your study approach. Happy to share more specifics about what I used if it helps.