You are so right - appearance change can do a lot for your self esteem, but until you get the psyche working right, you will still have the same old issues. That is what i was referring to in my first post when i mentioned the Landmark Forum. This is a seminar type experience in which the participants actually have as a goal tearing down the walls that we put up in our lives as a defense mechanism, starting from childhood experiences all of the way through adulthood. I am not a spokesperson for this organization, but i can tell you that going through the 3 day course changed my whole perspective on all of the bad experiences that shaped me and turned me into the insecure person that i used to be.
I can talk and talk about what it was like for me, but unless you actually attend and experience it for yourself, you probably won't understand. But, now, I am actually working with women - while not in a counseling capacity, although that always seems to enter into what i do, but as someone who can help them with their outward appearance, and polish their looks and attitude, which a lot of times helps them to become stronger and more self confident. It may seem minor to you, but the truth of the matter is, that so many women have put themselves last to husband, children, home and jobs - they don't take the time to do things for themselves. Sometimes, just finding out that they can be attractive, and exciting women in their own right, is enough to give them the confidence to make positive decisions in every aspect of their lives.
I am amazed at the number of women who don't realize how beautiful they are!!