For some people it is very difficult to ask for help even when they are distressed. Why might this be the case? The answer is likely to be complex with several factors at play including the social, cultural and personal.
Attachment theory tries to explain why for some people it does not feel easy to turn to others in times of emotional upset. It focuses on the importance of early developmental experiences in contributing to our capacity (or not) to turn to a trusted other for support. If a child feels repeatedly “let down” by their parents responses to their distress, or if they feel the need to protect their parents, their own emotional needs may be left unattended.
A difficulty in this area is more common than one might imagine and need not not be insurmountable. It can form an important focus in the process of therapy.
Read more in this article from Psychology Today