Hello There is a need for someone to understand you, sometimes we predict that no one will understand but rather we have the mask on which makes it difficult for our loves ones to guess if everything is alright. It is important to feel all the emotions and translate it in words to people who care for you. Try and talk to your husband that you are in need to talk. Consult a psychologist immediately to understand your concerns and effective treatment.

its really terrible to feel worthless and useless....but you can come out of it for sure. i guess its because of some traumatic incidents in your childhood or recent past. u feel unloved...i think. dont hurt yourself. visit a psychiatrist first. u will need medications. then u will need some form of psychotherapy.

What made you to be so unhappy  about yourself dear?!!! Feeling  good about yourself had to happen  within you. I think  you are expecting  from people around. Yes,  you would helped many people.  No question about it. Did you do all those for appreciation or for your satisfaction and happiness?!!! Think on the above mentioned point and introspect.