Do I need Pshychiatric help?

Patient: During childhood, I developed a deep interest in the legs and feet of women. This eventually turned into a strong desire to be trampled, stomped, kicked, facestood and spit on by them; especially women who are usally helpless. I have fantasies about being shrunken by a giantess also. At age 54, when I think of any of these acts, I get an uncontrollable erection and feel like a 14 yr old with out of control hormones. I also haven’t been in a relationship with a woman since my ex girlfiend in 96 who is the mother of my daughter.I’m very straight.