I think knowing something is wrong and deciding to do nothing, no matter what sort of hell you put those around you in has to be the worst case scenario. There is a selfishness to this that bothers me. Not even trying can seem so hopeless...for everyone.
(can you tell I am dealing with diagnosed/untreated by choice ADD/OCD? My H. Very damaging)
If I can get help for myself & be a better person to those around me, I would do it without question. At least I would know I am trying.