Wasn't she gorgeous? Of course she had esteem problems. Everyone has esteem problems. You can't walk a millimeter anywhere without being assaulted by imagery telling you you're not beautiful/rich/skinny/glamorous enough. I think this is a big part of why some want to kill her. She isn't cute anymore.
and this photo was taken some time AFTER the "accident" - when she WAS getting treatment - does this look like a vegetable?