Hi, Short story: Year 11 girl, extreme anxiety, nothing is helping, on a long list for help, having daily break downs. Long story: I'm a year 11 tutor and have a girl in my tutor who is constantly anxious to the point where she is in tears every day. For this post I'm going to call her Louise. Louise is a top student, targets of 9's for all of her subject and works extremely hard to meet those targets and is in the top sets for everything. She is a prefect, council member and does other extra cirruculars. During year 10 Louise started to become very anxious; she worried about all of her subjects, feeling she wasn't doing well enough. She does more than enough. She will work on her homework until 1am sometimes - she doesn't get enough sleep. I do feel angry with her parents for this because they know she needs to stop working. We've had meetings with her and her parents one before and after summer. She has had a Camh's analysis and she is on the waiting list for help (approximately 6 months). Her parents have also paid for her to see a private counsellor to help her - nothing is working. The school have given her a 'time out' card so Louise can go to a quiet area of the school to work or just to take five minutes to calm down. Myself and Louise have a check in every day. She is getting personal one to one from our head of year. We have given her a positivity card to help her track things that have gone well. However every morning she will be in tears, then at break and at lunch and in between lessons as well as frequent panic attacks and she now thinks she's blacking out from stress with some areas of memory loss. When we ask what is wrong she will just reply 'I don't know'. I'm also getting daily e-mails from parents. Last week she broke down in tears because she thought she'd forgotten a textbook - which was in her bag the whole time (and easy to find). I'm looking for advice. I don't know what else to do with Louise. I'm not trained in mental health and I sometimes worry that anything I do/say could backfire on me. Her parents think the school will have the answers to solve this problem but it is so much bigger than that. I'm now getting frustrated with the whole situation because I feel useless in being able to help her. Socially she doesn't want to be a burden and she has stopped making an effort with her friends because she feels like she's getting in the way. Her anxiety makes it worse and she doesn't put herself forward in conversations etc in fear of anything backfiring. Any advice would be amazing. It's so hard to see her upset all the time.