When should you ever admit depression in the real world?

I went to the dentist (and my jaw felt like it was almost teared off) and he ask me if I had depression. I don't know why unrelated doctors to the brain and mind would ask about mental illness, I suppose maybe due to ethics and code of practices they would have to treat their patients differently or if they are taking medication.
I never admitted to anyone and no-one noticed because I'm the rock in the family and that is their quote not mine.
Its not just in hospitals but also university and other workplaces. I wonder when would it be really important to admit it to professionals? and I wouldn't to say it to general people. It sometimes worry me that maybe the serotonin levels will skyrocket if they do a procedure (I'm just kidding). But was there a time when you needed to confess or have you kept it secret? Or did you have the bravery of saying it and how did it go?
When should you ever admit depression in the real world?
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