You are talking about school work and SATs. That makes me think you are probably a junior or senior in high school. Have you talked to your parents? A school counselor is also a good resource to start with. Someone at your school will know how to get you help. Your parents need to know so that they can help you too. If your parents have health insurance, those doctor visits/counselling visits will be covered under their health insurance. If they do not have health insurance, still let them know and work with the resources at your school. They can get you help that your family can afford. I have a son who just turned 18. I would certainly want to know about any issues he is having so I could help them. Don't be shy to say something to your parents and your school counselor. They want to help you.