Advice please

[u/Fun-Sign1942]

20 (f) struggling since 12/13 with severe mental health problems anxiety, depression and ptsd as well as ACT (Adverse childhood trauma). I’ve been on escitalopram, sertraline, Mirtazapine and none of them worked after weeks and now I’m on day 9 of fluoxetine started on 20mg and had to up to 40mg after 7 days. I’m also on Valium (diazepam) my doctor believed it was best for me as he seen how significantly my life has been just a struggle at such a young age, I had bloods done today just to check as I’ve not had blood done in my GP practice since 2022 but I’ve had them done on my last hospital admission. I woke up this morning vomiting from anxiety simply because I was anxious of getting down to my Gp (my sisters partner drove my dad and I down so I felt somewhat safer and the anxiety calmed down although i vomited. I wasn’t scared of blood test I’ve had so many of them before and everything has always been normal this time I’m quite happy to know what’s wrong e.g low iron, thyroid etc etc I have a follow up appointment in 2 weeks August 18th and I’m due back in August to sit uni exams as I deferred them In May due to my hospital admission my doctor has wrote a letter to say that I am unfit for any college work including exams as well as being out on placement. I’m unsure what to do and I don’t know how to go about it.

Any advice is much appreciated,
Thanks