Tracey, a mother of two, says she is self-destructing. At age 24, when she still felt thin and attractive, she fell in love with Steve, an investment banker. Soon she was living a lifestyle far removed from her modest roots. Tracey now lives in a million-dollar home, but she says she still feels like "a piece of trash." She's gained 60 pounds in the past four years and feels her husband is repulsed by the way she looks. "We have sex occasionally," she says. "He never initiates—it's always me seeking him out. … I would love for my husband to be proud of the person that I am and to be proud to have me on his arm. I feel like I'm dead on the inside."

"Everything you [are] saying about your husband is what you need to feel for yourself," Oprah says.