Want a window into the world of people struggling with issues – try The Biggest Loser. The Australian version. Like so many of those program formats [expert helping subject who needs help] it is always fascinating the difficulty the subject has in accepting the reality/truth/facts.
They enter a competition to go on the program, they go through a rigorous vetting process, they get picked because one can only assume losing their excess weight is the single most important thing to them. The money doesn’t hurt, but it’s clear they are broken spirits and want to regain their life.