People here are going to give you the unvarnished true ....like it or not. I was only thinking of or health and happiness. The poly community seems to have an intersection with Bdsm community so there are plenty of experts here ...I'm surprised they haven't weighed in yet......must be tied up
The reason I suggested telling your Dr because these factors will be very important .....he may wonder why you not get better and thing of that nature. And remember you going to him for help and leaving out a couple very important aspects of your life.