When they say . . .

. . . that "it's okay to not be okay," what they mean is that it's okay to know that you need help and go get it. 

I've really no idea what they'd say about someone who knows he could benefit from help but won't go get it. 

But they also say that doing the same thing and expecting different results is a definition of insanity. I don't expect any different results if I get help again, from any of the half dozen counselors I've worked with in the past or from someone new. And I don't expect any different results if I simply carry on, either.