I've found it comes in waves and I now know what is happening and that it will go away and no matter how much I can convince myself of the 'best' thing to do is, I know I'll wake up feeling better.. I just knock myself out with paracetamol (mersyndol). I've never had a therapist, councillor or psychologist etc.. I don't know I don't think I could relate what I feel to them well enough, it's my problem and I feel I understand it enough to not need to discuss it.
I plan on seeing a hypnotherapist once I'm working and can afford it.. I've heard good things about hypnotherapists. Curing repressed emotional issues.. it rings a bell for me.
It makes sense we go through such intense changes mentally and physically that it's no surprise that for some of us it can be a bit much. It's just finding out the best outlet or solution for the individual. A part of me sees it as a part of transitioning and maybe a side effect of meds or the shock of such big life changes. I guess I talk to my mum a bit about my problems but she finds it hard to relate and would rather talk about clothes and TV.
I also struggle with opening up to people.. enough for it to be worthwhile. I guess understanding why you feel the way you do can help, finding a reason can be comforting.. even if it's a placebo effect, I feel it's just temporary and that it will get better further along the path once things start to fall into place ..which also helps.

I hope there is something helpful in my ramblings :S