Show $ \langle Tx,x \rangle \in \Bbb R\ \forall x \in H\ \implies T$ is self-adjoint
Let $T$ be a linear bounded operator such that $\left<Tx, x \right> \in \mathbb{R}$ for all $x \in H$. Since $\left<Tx,x\right> \in \mathbb{R}$ then $$\left<Tx, x \right>=\overline{\left<Tx, x \right>}= \left<x, Tx\right> \ \ (\star)$$ for all $x \in H$.
Now take $x$, $y \in H$, by your polarisation identity (in the one which you wrote there is a mistake in the 3rd term it should be $i\left<T(x+iy), x+iy\right>$) and ($\star$) we obtain
$$\begin{align}\left<Tx, y\right> = \frac{1}{4} \left(\left<T(x+y), x+y \right> - \left<T(x-y), x-y \right> +i\left<T(x+iy), x+iy \right> -i\left< T(x-iy), x-iy\right> \right)= \frac{1}{4}\left(\left<x+y, T(x+y) \right> - \left<x-y, T(x-y) \right> +i\left<x+iy, T(x+iy) \right> -i\left< x-iy, T(x-iy)\right> \right)=\left<x, Ty\right> . \ _\square\end{align}$$