Help!
I am 31 years old and have had major addictions my whole life. When I was eleven I began masturbating to porn excessively, causing my mother to have a credit card bill of over 3000.00 one month from stealing her card for pornography use. I have spent over 300,000 dollars since I was eleven on pornography, strip clubs, and yes, even hookers. I have had an average of 20-30 sex partners a year.
In my early twenties I also began to be addicted to food, primarily out of shame of my sex addiction. I went from 165lbs to 375lbs now from the ages of 21 to 25 and have stayed at 375 lbs even after numerous diets.
I also had a severe gambling addiction, primarily due to trying to "win" money to either pay off porn/hooker habits or to obtain porn/hookers.
I was diagnosed with bipolar disorder roughly a year ago and have been on carbamanzepine. I have been in a relationship for over 3 years off and on and I finally gave up hookers (not porn) and got married. I thought the medication had completely stabilized me but i find myself during the day at work trolling craigslist for anonymous sex and backpage for escorts. I drove an hour away yesterday when i was supposed to be at work to obtain sex for money. I didn't go through with it because I looked at my wedding ring and did not want to betray my wife, but clearly my medication isn't working or helping.
I am afraid of telling my psychiatrist about my sexual behavior, he just knows about mood swings. I do not want to get arrested for soliciting prostitutes. I also have no idea how to stop my porn addiction. On average I download 15-20 different porn movies a week and now I have a hidden collection on my hard drive of over a terrabyte of pornography.
My life is spiraling out of control. Please help me.

I dont know what to do.