For me, I knew deep down I needed to see someone. Despite blacking out at work/uni from an ED and having daily anxiety attacks, it was actually when I was a passenger on a bus which was involved in a minor accident that made me seek the student support services at my university and ask to speak to someone; about 6 years ago now. I think I realised that I was not strong enough to cope with the accident, it just tipped me over the edge. I knew crying in public and having a melt down was the day I needed to admit I needed help.