Quoting Devil's Advocate:" So at what point to do you reach the point of accepting your horrible fate enough to move on to the next phase of being healthy?"
My horrible fate? You know how I'm going to die? Are you a psychic or something? Is this conversation going to cost me $3.99 a minute? lol
The point is not to come to some horrendous place where you are certain and fearful of death. The point is to love and accept yourself as you are, without qualifiers. To realize that nothing you have done or are doing is enough to exclude you from humanity and the basic tenets of respect.
Self-acceptance is not complacency. It is a place where you can look at yourself, at your strengths and weaknesses, and accept who you are at face value. Self-acceptance is the foundation on which change occurs.
You find self-acceptance. You realize the things about yourself that you love and the things about yourself that you aren't so fond of. In a place of self-acceptance you can lovingly usher in the change that you want because you feel that you are worth it... and the change comes out of a love and respect for who you are and who you would like to become.