Most of get help, not because we are feeling particlarily philosophiocal about our place in the universe, but because we are at the end of our ropes. We are down, and all we know for sure is that the road we're walking isn't leading us past much happiness anymore.
And then - sometimes, we get lucky. We stumble into that program or that meeting, and if we listen hard, we are taught some of the most important truths of all. The truths that will keep us sober, and more importantly, teach us happiness.