No. You don't have to lose everything before you decide that you want something different.
There is a common idea that someone has to hit “rock bottom” before they can truly change. But there is no specific point that everyone has to reach before recovery becomes possible. Waiting for things to get worse can mean losing relationships, opportunities, finances, health, or years of your life that you can never get back.
If you recognize that something isn't working, that's enough reason to make a change.
Maybe your relationships are suffering. Maybe you're tired of living the same way. Maybe you can see where your current choices are taking you and you don't want to go any further. You don't have to wait until everything falls apart to take those feelings seriously.
Change can begin whenever you're ready to acknowledge that you want a different life and are willing to take steps toward it.
And if you've already reached what feels like your rock bottom, that doesn't mean your story is over either. It can become the point where you decide to stop going in the same direction and start building something different.
You don't have to lose everything to choose recovery. Sometimes, recognizing that you want a better life is enough to take the next step.