The problem is that people rarely pay enough attention to each other to know when those words are needed. Compounding that problem is the human tendency to hide weakness. Wilson didn't even show House his paper. If House hadn't caught him reviewing it, Wilson might have stayed in the cold, dark state of misery that practicing euthanasia had driven him to.
Barring some timely nosiness from a friend, the best way to get the reassurance you need is by letting someone know that you need it. There is no shame in asking for support, and you might end up hearing exactly what you need.