Receiver on your tow vehicle is rated with two weights.  One for using a weight distribution system (many come with built in anti sway systems) and a second for load carying only (which is a smaller number).  Your fully loaded tongue weight and  your tow vehicles specifications determine if you MUST have a weight distribution hitch.  IF it is determined that you need a weight distribution hitch, you would be best served to purchase one that has integrated anti sway.  It'll be a lot more fun towing with one than without.
Good luck / Skip