Scared out of my mind!

So I know I’m probably gonna get some ridicule but I really just need some support. I am 19 weeks and my anxiety has been through the roof. I still have not done my initial blood work because I have a terrible fear of needles and even worse fear of blood. I have reschedule my last Dr appointment (which was suppose to be on January 10th) 2 times and have not set up a new date yet. I know it is irresponsible but my anxiety has gotten so bad when I try to leave my house to go do either of those 2 things I instantly get sick and my body just wants to shut down. I could really use some advice. I want to make sure I have a healthy baby but right now my body and anxiety are keeping me from doing what I need to.