Hello I am a 19 year old M in my second year of college. Since I enrolled in college I have been struggling with anxiety about school. I was not like this is high school, but ever since I started pursuing a goal of attending dental school I have been so hung up on grades. I have been doing really well, but at the beginning of every semester my anxiety eats me alive for a month and I hate it. For all my difficult classes I am constantly thinking of what I would do if I fail, what I have to do so I dont fail, etc. I have only gotten A's apart from 1 B, but I cant shake this anxiety. I had a tough time in high school and was given a hard time because of my looks. I wanted to come to college and reinvent myself, but covid happened. I sat at home and as a heavy introvert I rejoiced, but a part of my felt lonely. Thankfully I have a great family who helped me through it. Flashforward a year, I start my second year of college with 0 friends. I move into my dorm, and my anxiety of school shoots through the roof and as someone who usually does not cry, I ended up sobbing every night for 2 weeks. After that I moved back home and decided to commute because I live near my college. Again my family helped me through it and I got back to normal. I only have 1 or 2 friends and I wish I have more, but my social anxiety has shot through the roof. Now the spring semester has started I am commuting, but my anxiety of failing has come back in full swing. I have a weird feeling in my chest, I can't things of anything else, and I get scared to touch anything I use for school, after class. I don't know what to do, I tried journaling, telling myself its going to be ok, and reminding myself of my good grades and supportive family. I even increased my studying amount to make myself feel reassured, but I still have this feeling and I want to work on it. I dont really tell  my family about my deep feelings because I dont want to worry them and I know that my words will linger with them, when I dont want them too. None of my relationships with my friends are emotion based so I dont really talk to them about how I feel. Any people who would hear me out when I feel anxious or any person who has overcome this kinda thing, I would be totally open to some non medical advice. Thanks for reading if you got this far!