Melissa Cefalu, a veterinarian, and her husband Andrew, a chiropractor, have their dream jobs. But they're living a nightmare of self-denial.

Buried under $365,000 of student loan debt, they never take vacations, instead snatching occasional long weekends with friends or relatives. Andrew drives a 13-year-old Chevy Tahoe. And rather than buy new clothes, Melissa, 35, makes do with her sister's hand-me-downs.