Occupational health exists to identify any potential sources of occupational stress that could impact directly on your health, to identify any reasonable adjustments that could be made, and potentially a management plan as well.
You’ve done the right thing in disclosing your history to the OH service because they’re in a position to help you and signpost you to appropriate services, some of which may be unique to your university. My previous university had a dedicated mental health service that was specific to their student population and I was fast tracked to them via the counselling service and OH together.
What you do have to remember is that you’re doing a course that is stressful to anyone and in which you are going to be interacting with the public and being responsible for other people’s health. The university relies on the occupational health service to look after the health of its students and protect them from occupational stressors and hazards but they also have a responsibility to the public as well to make sure that the students they are sending out are fit for practice. That’s why they have an OH service. They’re not looking to kick people off the course before they even start. They’re just looking out for your interests and those of the public.
There really is no actual reason to be anxious. A bigger problem is when people don’t disclose things. If they don’t know, they can’t help you, and being able to effectively manage your own health is a huge part of fitness for practice. Engaging with the right services is a sign that you’re safely managing. Occupational health is that service and you’re engaging with it.
If you flipped it and saw someone else doing it because the stresses of the course were causing them to self harm, this would be a sign that they weren’t managing the stresses in a healthy way and they were potentially putting yourself at risk. Translate that into a situation where a person is disappearing at work to self-harm and leaving patients unmanaged (I have seen this happen) and you would know that there was a problem that needed to be unpicked. If, however, you take that same person and give them a management plan whereby they feel they can comfortably disclose to a manager or supervisor that they are struggling to cope and that they are finding a particular aspect of the workload or workplace stressful and that they may need some adjustments making, reduction in hours or time off to work on their mental health, that’s safer for them and for the people they care for. It’s no different than a person who has diabetes asking for protected time to manage their condition, a cap on their working hours or someone with kidney failure asking for time off once a week to attend their do their dialysis appointments. I have a stroke patient I’m supporting to return to work at the moment and her OH service are working closely with her to identify what aspects of her condition are going to impact on her ability to do her old job and what adjustments they can make to her duties and workplace environment to accommodate her changed state in physical and mental health and allow her to do her job safely. She won’t be doing 12 hour shifts anymore, that’s for certain, and that’s a reasonable adjustment that can be made. This is what Occupational Health is for. Please don’t be scared of it. They are there to help.