I cannot see why she would be suffering from poor self-esteem or image problems given her natural attractiveness, however, I have to wonder if they are related to a desire to have a real life body that she projects with her prosthetics. Obviously, some think of it as fun, but as we know, there are others that really do wish they could have enormous breasts for real. I hate the idea or resorting to meds to distract from the reality of achieving harmless desires if that be the basis. If she is very happy with suddenly becoming a D cup, what would she think of being a Demora cup?