I never knew. I had to be hospitalized in order to know something was wrong with me.
Akira mentioned parents thinking you are possessed, mine did too.
No one accepted mental illness in my family and urged me to throw out the pills everytime I was hospitalized because they didnt believe in mental illness.
It took time for them to realize that mental illness was real and it had to be addressed and you couldnt wish it away. Also, I had to take responsibility for my actions and say to myself I need to stick with my T, my doctors and my pills to make it through the darkness safely.
If you are questioning whether or not you need help, seek out a counselor of some sort. A professional you can trust that wont just throw pills at you.
Good luck to you and god bless