My professional experience is that most folks are not that self-aware...
Most people who are depressed don't think they're depressed.
Most people who are alcoholics don't think they have a problem with alcohol.
Most people who abuse drugs (Rx'd or street) don't think they have a problem with drugs.
Most people who are compulsive gamblers don't think they have a gambling problem.
It is hokey and cliche, but the first step to fixing a problem is to realize you have a problem...
Doc