Some people aren't good at asking for help, they're so used to being 'the helper.' Throughout their life they've experienced an unbalance give and take, so their instinct is usually "I'll figure it out on my own". The self-reliance is all they've ever known.
She felt like crying but nothing came out. It was just a sort of sad sicknees, sick sad, when you can't feel any worse. I think you know it. I think everybody knows it now and then. But I think I have known it pretty often, too often.