I often wonder that. Seems like whenever I think it's gotten really bad, it gets worse so that I look back on where I was three years ago and think, "That's child's play." At the time I thought I was bad off then too, though, so I don't really know how to gauge when it's truly gone too far. I guess it doesn't matter in my case. I've learned that unless I physically harm myself, no one is going to take me seriously if I do ask for help.