well now i guess the question to pose is would you rather stay sick and tired of using or would you like a sober life? often times i have witnessed people's pride getting in the way of their recovery. it's a lose-lose situation cause they don't get better they just get sicker and sicker (and sometimes death) and further down the pole of destruction, IMHO. if you really feel like your life is spinning out of control perhaps you may want to look at the excuses rather than the reasons you don't get help.
there is no way i could have successfully stopped 18 years ago had i not sought a 12 step progeram, in my case AA, to lead me to a new life. i have never regretted doing that for myself. today i have a grateful heart and a sober life that is incredibly wonderful in spite of life's problems. i hope this will give you hope, too.
one other thought: i had a corporate management career with a fortune 200, international company. my anonimity was never broken going to AA. i had a lot to lose perhaps if it had been but if i didn't hang on for dear life for sobriety that job would have been lost anyway had i kept drinking!
that's when i understood that phrase that states "sobriety comes first" cause we will lose everything of value in our lives if we don't get and stay sober.