re: At what point do you go and see a therapist/ Do they really help?

First, it may not be mental, it could be medical,,,,,schedule an appointment with a PCP, do some lab work, check all your hormones, not just testosterone, but the whole gamut,,,,if all your levels are normal or off the charts, your PCP & therapist will use that info to help you,,,,,,there’s a reason we take mental emergency patients to the ER to get medically assessed first before going to a psych care facility, medical problems can drive mental ones.