It takes a lot of guts to ask for help.
At the same time, there’s an expectation that people (spousals, friends, shrinkys) will know when you’re feeling like shit, without you ever actually telling them.
Alas, people are not psychic and, more importantly, most people are obsessed with their own lives and thoughts and problems. This doesn’t mean they are bad people; it means they are human. I think you’ll find that if you disturb them from their self-obsessed reverie and ask for help, they’ll give more of a shit than you expect.
Actually, Freud would have a field day (no, not that type of field) with contemporary society. We are all desperately seeking for someone to understand all our (non/pre-verbal) needs without our ever having to express them. Not going to happen I’m afraid.
It’s time to start talking.