Oh, MoxieDoxie, I feel for you. Fear is an awful thing. Whether you see a psychiatrist or not you need to tell your therapist the truth. They can't help if they don't know the whole story. I know it is hard to discuss things like self-harm and eating disorders but it is very important to your getting better. I hope you choose to see the pyschiatrist. I think it might help you but only if you are honest. Otherwise, they won't know the kind of pain you are going through. Good luck.
Gayle