This should really only be explored a last resort for debt relief before you file for bankruptcy. If you’ve tried everything else and haven’t had any success, then you can consider a debt settlement plan where you settle your debts for less than the full amount owed. This can cause significant damage to your credit score and results may vary, but it may be your best option if your situation is truly critical.

If you decide to start a debt management plan, there will likely be a one time set-up charge and a monthly fee for the cost of administering the plan. These fees are determined in part by your state of residence and will be calculated by your counselor during your credit counseling session. If you feel that a fee will be too much of a burden for you to pay, talk to your counselor.  If you qualify under the U.S. Department of Health and Human Services poverty guidelines, you may be eligible to a fee waiver.
Kalkowski recommends finding a nonprofit rather than a for-profit agency. Reputable companies may be accredited or certified by one of three organizations: The National Foundation for Credit Counseling, the Financial Counseling Association of America or the Council on Accreditation. Consumers can also check the Better Business Bureau for company ratings and reviews or discuss the matter with trusted friends and family members who may be able to make a recommendation.
Weigh the pros and cons of signing up for a DMP. While credit counseling is free and does not affect your credit score, enrolling in a DMP may be expensive in the long run and negatively your credit if debts are settled for less than their original value.[4] You will also not be able to use your credit cards for the duration of your time enrolled in the DMP.[5] However, you also need to keep in mind that working with a credit counselor or debt management company can provide some unique benefits. There are plenty of creditors who won't work with you directly but will work with you through a DMP. Similarly, the "concessions" given to you by the creditor (lower interest rates and waived fees) might be better and help you save more money in the long-term if you opt to go through a credit counseling agency.
Before discussing anything else, we’d like you to know that you have the option to fix everything yourself. Unfortunately success is not guaranteed as you have proven that you haven’t been able to manage your finances. But it could be worth a try. The good thing is that you will not be burdened with the additional costs of hiring someone to help you out. You will be able to concentrate all your funds on paying off your debts.
Howard – The problem with Chapter 7s is that you must meet minimum income requirements (based on the minimum income threshold in your state). This means there’s a possibility that you may not qualify for a Chapter 7, so it may not be an option for wiping out credit card debt. Before you decide to go the bankruptcy route, have you considered a Debt Management Program? I know 45k is an huge burden and it’s stressful, but there are other options that may help. Before you decide on bankruptcy, we’d advise exploring all of your options. It’s worth contacting a consumer credit counseling service. They’ll be able to review your individual personal financial situation and debt load to determine whether or not you’d be a good candidate for a DMP. If you are a good fit, they’ll work with your creditors to lower you interest rate and lower your monthly payments to one monthly payment you can afford. If a DMP isn’t a good fit, and bankruptcy is your best option — they’ll be able to tell you that as well. A consultation is free, but make sure you choose a consumer credit counseling service that is accredited by the National Foundation for Consumer Credit Counseling.
Finding debt relief means that you identify a solution that minimizes the burden of debt repayment. The goal is to reduce or eliminate interest charges and fees so you can pay off your debt faster. In many cases, you can pay less each month and still get out of debt faster than with traditional payments. Essentially, you find a better way to pay back what you owe that works for your finances.
While your credit score may suffer if you’re falling behind on monthly payments before you get your debt management plan set up, starting your plan should provide some relief. Your credit score should increase as you begin making regular monthly payments and your debt balances drop. Experian does note that you may see some negative side effects when accounts are closed, usually due to changes with your credit utilization rate or credit mix.
The big advantage of the debt snowball is scoring quick wins. Science backs up the idea that this is the best approach, because you'll stay more motivated as you see debt balances paid off. But there's an obvious downside: Your smallest debt may not have the highest interest rate. If you're waiting longer to pay off high-interest debt while focusing on lower-rate debts, you'll pay more interest over time.  
A debt management plan sets up a payment schedule for you to repay your debts, with the goal of helping creditors receive the money owed to them and ultimately improving your financial and credit standing. By voluntary agreement, you deposit funds with your credit counseling agency each month, who sends those funds directly to your creditors. It usually takes 3-5 years to complete payments under a debt management program, after which you may be able to reestablish credit.
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