I spent about 9 years total in therapy, not for binge-eating, but for other things. I can say with 100% certainty that if you don't take that scary step to therapy, the problem will not go away, or it will manifest in other ways. Binge-eating is psychological right? Your body doesn't need the binge, but your mind does. If you're considering speaking to your doctor, then you've already realized it's something you need help with! That's a great step. Yes, it's scary, but therapy is good. I was a mess from my past and I needed a lot of help. For years I thought I could manage on my own, but I was self-medicating with alcohol and isolating myself more and more. When I first told my doctor, she immediately gave me a referral to a psychiatrist because she had no training in mental health disorders. I was ashamed to talk to her, but thank goodness I did. My p-doc helped me a lot.