do i need to see an analrapist?

For those who may be unfamiliar with the term, an analrapist (as named by Dr. Tobias Funke from Arrested Development and pronounced uh-nal-ruh-pist) is an analyst and a therapist. These days I think I'm in need of some assistance. My deep seeded self-loathing has launched me into a downward spiral of destruction --- everything in my path is being obliterated: my sense of calm, logic, comfort, 'relationships', et al. My question really is this, when does voluntary self destruction become a condition and not a choice? There's no other way for me to behave.