I agree with Robbie - I've seen you come back after a binge - not sure I've ever seen you try to fend off a binge by posting here and asking for help beforehand. Maybe I missed it.
lets talk turkey James - what you've done before, whatever you've been doing, hasn't enough to keep you sober.
Seeing a Dr is a great start but that alone is not likely to change much either...
so...what else?
D