When Ben Ava, a struggling medical student facing insurmountable financial worries, receives a scholarship offer for a Medical Center in Memphis, he thinks that his tenuous future is finally secure. But Ben's past will not leave him alone. His fellow scholarship winner is his old friend Brenda-a young medical student with extraordinary talent whose troubled past has made her self-destructive and dangerous. In Memphis, their lives become increasingly tangled as Ben is pulled into Brenda's orbit. Soon, he finds himself risking his medical education, his new romance, and his entire future in the hopes of steering himself and Brenda through the tumult of their shared loneliness and trauma. Tears Before Exaltation is a literary drama about coping with the past, surviving the present, and the blurred lines between courage and insanity, hate and love.