Hi p1994, that is a massive step!! Well done!! It must have taken a lot of courage to do that, but you so deserve it!!!
I think you'll find your psych a lot more experienced in helping you move forward and in helping you tackle the things you're trying to cope with right now than maybe your caseworker, as it is more their "specialty".
As for your parents, I'd love to say that you've really got to tell them/tell them everything and let them stand by you and support you through it all. But what is your feeling about how they may react?? Not that it's anything to be ashamed about at all, but some people can find it hard to understand.
Having said that they may go through a lot of emotions at first e.g. fear, denial, upset but then gradually come out of it and be there for you whatever. But what do you think?
As for your psych, he should be there to try help you in whatever way's going to work out to be the best for you. It might involve medication, but he should be happy to talk to you about the effects if you ask. Sometimes it can take some trial and error to find medication that suits you, but finding the right medication can make such a big difference.
And there's a chance that you might not feel completely comfortable talking to him the first time, but you're going to be talking to him about really personal stuff, so that's natural.
Just tell him at the start if you're feeling uncomfortable and he might be able to talk to you and reassure you. And perhaps write down before the appointment some of the things you've been going through, so you can read from them and feel a little less "on the spot".
But don't be angry at yourself that it's "gotten to this point"!!
Firstly, you didn't cause what's going on for you to happen, it just did. And secondly, it's a really good point to have gotten to after all you've been through/are going through!!
And, again (!!), Well done!!!
Alison