Get back your Self Esteem???

I am sitting here watching the current season of "The Biggest Loser" and it is making me think. Every time the trainers ask the contestants what is holding them back, or whenever the trainers talk about the contestants they talk about one thing.......Self esteem, pride and fear. My question to you is how do you get these things back without a screaming mass of muscle hovering over your shoulder and pushing you the entire way.

How do us simple FAT folk get our self esteem back?????