My psychiatrist treats lots of people with meds and I was terrified to take them for the same reason. Here's the truth; there's a good chance it will make you slightly to moderately nauseated the first week or two, but according to my doctor it is really rare for people to actually v* from prozac. It's rare in my experience from watching posters on this board for the past 4 years including some people I've known pretty well. The fact that you are using a psychiatrist means that they are actually experienced with the drug and not just consulting the literature, so as you were saying, you get to start on the lowest dose for awhile then ramp it up...if you ever get off of it you'll want to taper rather than going cold turkey. I took prozac from 1996-99 when I was from 14-18 years old. I started with 10mg every other day, then 10mg a day, then 20 mg a day IIRC. It changed my life in a positive way. I was still scared to death of v*ing but it took the edge off of my anxiety to the point where I was less angsty and angry and on edge. Problem was, after I had a SV in 1997 I felt I had faced my fears and therefore I was cured....not so! I dropped back to 10mg and it never regained it's effectiveness for me, and before I knew it I was right back to square 1. It seem that it's real common for SSRIs to help ebough to take the edge off of our anxiety and then oftentimes in 6 months, a year 2 years, or maybe never for it to hit a wall and not work anymore. I don't like these drugs for myself, but they haved help me at some serious low points. If you trust your psych, you could try it and get off it if you don't like it. Starting college is a highly stressful time. I won't advise you to go for it or go aganst it. I will say, you might should ask for antiemetics just in case it makes you nauseated...but only as a security blanket so that you take the pills...I'd hate to see you not take them because of fear of v*...because it's not very likely. I know that advice is small comfort to an emet, but that is the truth. I got on prozac, lexapro, luvox and paxil all without v* or ever being close...except when I got OFF the prozac...but I was already in an anxiety tailspin, was using a very high dosage and started the luvox too soon. Don't make these same mistakes and this will not be your experience. I STILL didn't v* but I felt AWFUL. Make sure that you do your due dilligence and review the other side effects these drugs can have....don't just google them on the internet, talk to people you know in real life, and look at trusted, peer reviewed medical sites online like WebMD and similar. If you have a concern ask your doctor about it. These drugs are not devil drugs and they also aren't beningn or for everyone. but they have saved and enriched a lot of lives, by the same token they have caused problems for a lot of people. Remember, with any drug, you are potentially playing with fire, but in some cases the rewards are very well worth the risks and this could well be the case for you.