I can’t make a certain diagnosis on the basis of a letter. I can tell you that the symptoms you describe are consistent with social anxiety. OK. Now maybe you have a name for what you’re going through. That’s not going to help you at all unless you take steps to do something about it. The positive thing about the anxiety disorders is that they are treatable. But they are only treatable if you get treatment.
You are certainly not alone in keeping vital information from your psychiatrist, feeling as you do. Talking about your symptoms puts you right into the thick of the very symptoms you are experiencing. I suggest you try to get an appointment sooner than July. You need time before going off to school to begin real treatment. Then either send a copy of this Q and A or write a letter to your psychiatrist, explaining what you experience. A mental health professional only has what you present to work with. If you don’t find a way to clue him or her in, you won’t get the results you need and deserve.
Although you may get some symptom relief before you head off to school, my guess is that you’re going to need ongoing therapy for awhile in order to master the skills you need to manage your anxiety. One of the many things your psychiatrist will want to talk about is how to continue your treatment while you are in school. You’ll want to discuss whether to transfer treatment to the school mental health services or whether you want to plan on coming home at intervals to continue with the same doctor.
I hope you will give yourself the gift of some intensive treatment. I for one think you’ve battled these feelings quite long enough. I think we both want you to have a happy and successful time in college.
I wish you well.