What would mean this needs more than a course

This sits at the start rather than the end, for the obvious reason.

You have thought about ending your life, or you have thought that failing would be unsurvivable. That one goes first and it goes today.

Then: you have stopped attending altogether and you are hiding it. You cannot sleep at all, or you are sleeping through everything. You are using stimulants, large quantities of energy products, alcohol or anything else to study or to sleep. The anxiety is there all the time and not only around exams. You are having panic attacks. You have stopped eating properly, or eating has become something you are controlling.

And one that needs a different route from the others. The pressure at home has stopped feeling heavy and started feeling unsafe.