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Tim,
I know this is the obvious response but it is the right one. Talk to your GP about it. Speak frankly and fully and accept that your male ego has to take a back seat while you do it. And then, listen to the advice you get. I'm betting it will include some sessions with a counselor of one sort or another. Do it!
The old saying goes something like this: "Most men lead lives of quiet desperation." I would add to that: "And most of us are too thick to realise there's a problem." You obviously are not one of them. You have insight into your problem and my guess is you also have the intelligence to do something about it.
Peter
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