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BANKRUPTCY-RELATED DEPRESSION:  DEALING WITH THE MENTAL HEALTH OF YOUR CLIENTS

Published in September/October 1997 Commercial Law Bulletin, by CLIA (Commercial Law League of America)

A very critical part of the bankruptcy process doesn't have anything to do with legal issues, reorganization plans, or creditors claims - it's the mental health of the debtor.

Most debtors will experience some degree of depression during bankruptcy.  Generally, this depression can be  managed with readily available treatment's. Some debtors will also suffer from what Karin Huffer calls legal abuse syndrome.  Huffer is a marriage and family therapist  in Las Vegas and the author of Overcoming the Devastation of Legal Abuse Syndrome (Fulkort Press, $19.95).  She defines legal abuse syndrome as "a type of post-traumatic stress disorder that people develop after a cumulative crisis."

Chapter 11 cases in particular can be lengthy, complicated, and very emotional, points out Milton P. Goldbarb of Newman, Goldbarb, Freyman & Klein, P.C., in St. Louis, Missouri.  "In the vast majority of cases, it will boil down to the principal of the company being the one responsible for bringing the company into line, helping to do everything that needs to be done in the bankruptcy court to keep the case going, and then still negotiating the plan, dealing     with the plan, and working with the company to bring it out of Chapter 11 and make it healthy," Goldbarb says.  "If   the attorney is going to be able to help his client have a successful Chapter 11, it's very important to keep the client    as focused and mentally well as possible."

Attorneys don't need to understand or be able to distinguish true clinical depression from the casual bad day, but they should be alert to potential problems, says Patricia Weik, a consultant, clinical psychologist, and lawyer with    RHR International Company in Wood Dale, Illinois.  "If the question [of depression] even comes to their mind, it's    going to be because they're seeing someone who is in obvious distress," Weik says.

It's a good idea to bring up the issue of depression at the beginning of the bankruptcy process, Goldbarb says, "one     of the things I do at the first meeting with a prospective Chapter 11 client is to explain that depression is natural, they should expect it, and we all have to look for it.  I try to get a commitment that if either of us sees it coming on, the person will get professional help."  Later on, if the symptoms appear, Goldfarb will remind the client of that initial conversation and suggest some form of action.

Occasionally, depression becomes an issue with creditors.  Sometimes it's the owner of a smaller company reeling from a major customer's bankruptcy .  More often, says Goldfarb, depression manifests itself in the credit manager who granted the extension of credit and is not dealing with the consequences.  The basic techniques for dealing with the problem are the same:  recognize and address the issue, and refer to a competent professional.

Depression may also become an issue with employees of companies that are in bankruptcy,    and attorneys may want   to remind owners to watch for symptoms in their staffers.  Nancy Garbett, president of Transition Management, Inc., in Salt Lake City, Utah, says that open and honest communication with employees about the status of the company   and the reorganiza-tion efforts is essential.   "Employees need to understand what changes are occurring and   what it means for them," Garbett says.  If they are feeling insecure and stressed, they won't perform at their maximum level and they could hinder the company's financial recovery.

Though attorneys must be willing to address the issue of depression and anxiety in the clients, they must clearly do so from the perspective of a non-mental health professional and protect their own emotional well-being in the process.  "Bankruptcy attorneys can end up with compassion fatigue from watching what their clients are going through,"  Huffer says.  She points out that many clients will attempt to sue their attorneys as therapists, and that attorneys    must take control of their situation and make appropriate referrals.

WHAT TO WATCH FOR, WHAT TO DO.

Weik says symptoms of depression include feelings of sadness or blueness; a loss of concentration, excessive crying, changes in sleep patterns; changes in eating habits; loss of energy or listlessness; guilty thoughts; a sense of worthlessness or hopelessness; thoughts of suicide or even, in some cases, of homicide.  When one or more of these symptoms are    present, Weik advises addressing the situation in a matter-of-fact but direct manner.

If the client does appear to be experiencing some serious depression, avoid minimizing their feelings.  "A lot of    people - particularly attorneys, because attorneys are trained to solve problems - will want to back away from this uncomfortable situation and say something like,  'It's not that bad, things are okay.'  What that does for a depressed person is essentially tell them that they're being ridiculous, that things are not as bad as they think, and that gets    them into another negative spiral," says Weik.  "You need to normalize the process for them.  Say, 'Yes, this is really    a tough situation, and most people would feel bad in your shoes.'"

Encourage the client to seek help for the depression.  This is especially important if the client  is making statements  that are either suicidal or homicidal.  "If you hear those kinds of statements, you need to take them seriously," says Weik.  "The idea that people who talk about suicide never do it is wrong; it's a myth.  If you get somebody in your office who is making statements to the effect that they want to die, or that their family would be better off without them (or if they are expressing a desire for retribution against someone who has wronged  them, stay calm and ask   the person if he or she has been having thoughts for a while."  After drawing the person out and getting a sense of  how serious the problem really is, make a suggestion of seeking help - or, if it appears that a crisis is imminent, make a call for help from your office while the client is there.  Weik suggests exploring referral options ahead of time so   you know who to call when the need arises.  If you're unsure about your local resources, the psychiatry department   of a reputable hospital is a good place to start.

Huffer's book includes a list of what not to say to a depressed client, including:

~ "It's only money."  Money reflects the person's status, feelings of worth, security, earned lifestyle, and taste.

~ "I know just how you feel."  You probably don't; saying "I care how you feel" is better.

~ "You still have your health/kids/family."  Kids, family, and health opposed to material goods are apples and oranges.

~ "Crying isn't going to help anything."  Probably not, but we don't cry to help things, we cry because nothing helps.   It's a natural party of grieving.

~ "You should have..." and "Why didn't you...?"  Don't criticize or promote further guilt by focusing on what the debtor might have done to avoid the current situation.

EIGHT STEPS FOR THE DEPRESSED DEBTOR.

"When a lawyer takes on a case, he or she is taking on a person who feels like a hostage," Huffer says.  "The person feels dependent, angry and trapped."  In her book, she suggests the following eight steps for a debtor dealing with depression and legal abuse syndrome:

1.  Debriefing.  This is the process of going through everything that has happened, and requires an objective, patient, nonjudgmental listener.  Debriefing typically occurs  when the debtor arrives in the attorney's office with boxes of   files and lengthy, complicated explanations of what has occurred to bring him or her to this point.

2.  Grieving.  The debtor must take the time to grieve over what's been lost, no matter how trivial or significant each element is.

3.  Obsession.  Huffer says this is a natural attempt to regain control, and it's important to acknowledge these feelings so they can be managed.  Left unchecked, they can be distracting and damaging.

4.  Blaming.  It's common for debtors to look for a scapegoat or to severely castigate themselves for what's happened.  Learning to deal with blame is part of healing.

5.  Deshaming.  Huffer says this has to do with "putting the shame in the right place."  Debtors often feel that they    lack control, and find that more embarrassing than if    they had deliberately done something wrong.  "You have   business people who have wielded clout in their community for years who are in bankruptcy and suddenly they    control nothing," Huffer says.  "They feel shamed."  Debtors need to work through     their feelings of inappropriate shame.

6.  Reframing.  The first five steps lead to this, the beginning of recovery, where negative emotions are turned around.  For example, an initial perception of "I should have seen it coming.  How could I have been so stupid?" can    be reframed to "I am not responsible for knowing everything.  I am an intelligent person who cannot control    other people or situations."

7.  Empowerment.  Once empowered, the debtor can focus his or her energy on sur-viving the bankruptcy, working through the reorganization and rebuilding his or her personal and professional lives.

8.  Recovery.  In recovery, the debtor can be reaffirmed and reenter the game of life.

If it appears the client is resisting your efforts to assist with depression, Weik advises remembering and using the natural balance of power that occurs in most attorney/client relationships.  "Attorneys who have a relationship with someone also have a certain degree      of authority with the person, and they may be able to use that in the sense of stating assertively, "I really think you need to see someone and talk about this," she says.

NOTE:  To order a copy of Overcoming the Devastation of Legal Abuse Syndrome, call 800/  829-8969.  [NOTE:    Or Contact Redress, Inc. to order a copy.]

ARE COLLECTORS DRIVING UP THE RATE OF BANKRUPTCIES?

A comment attorneys frequently hear from individual debtors seeking to file bankruptcy goes something like this:  "I just can't take the collection calls any more."  In fact, the reason St. Louis bankruptcy attorney T.J. Mullin uses the question, "Are bill collectors driving you   crazy?" in his advertisements is because it's a question debtors identify with and, therefore,    is an ad that works.

So are collectors driving up the rate of bankruptcies?  "Absolutely not," says Elizabeth Melton, general counsel for I.C. System, inc., in Vadnais Heights, Minnesota.  "I think there are a number of things that are happening that could make it seem like collection agencies push people into bankruptcy."  She cites technology such as automatic dialers that provide a   greater amount of telephone contact with debtors, as well as the fact that most consumers in financial trouble have multiple creditors.  "It may not be one agency's actions that are     pushing a consumer into bankruptcy,    but the fact that collectors seem to be coming out of  the woodwork.  Debtors have multiple bills, they're getting calls  from multiple sources, and   it's so overwhelming that bankruptcy seems like an easy way to resolve it."

However, Kenneth R. Richie, a creditors' attorney with Maguire, Voorhas & Wells, P.A.., in Orlando, Florida, believes that collection activity plays a large role in a consumer's decision    to file bankruptcy.  "Sometimes collectors get too rough when they make the calls, and    perhaps imply that they're going to take everything the people have, and that sometime can push [a debtor] over the edge," Ritchie says.  "Certainly, a softer sell could make a    difference."

As the number of personal bankruptcies increases and the stigma declines, collectors walk a fine line:  If they aren't aggressive enough, the creditor won't get paid; if they're too  aggressive, the debtor may resort to bankruptcy - and  the creditor still won't get paid.

Of course, the underlying cause of bankruptcy is the debts people can't afford to pay.  Bonnie Baker, vice president    of The Out$ource Group in Columbia, Missouri, says it's not collection activity that drives people to bankruptcy, it's   the debtors' own behavior.  "Bankruptcy is the most widely known solution for people who can't pay their bills," Baker says.  She points out that collection agencies do not want to waste time and money contacting debtors who truly do not have the means to repay their debts.  "Our job is to assess who has the ability to pay," she says, explaining that those are the people who will be contacted by collectors.

Mullin thinks many bankruptcies are driven not by collection activities, but by an increased consumer awareness of bankruptcy as an option.  It's not, he says, that people take bank- ruptcy any less seriously than they used to, but that they are more aware that bankruptcy can stop the unpleasant collection activity.  In fact, he says, many of his clients will deal with calls and letters, and only decide to file after their wages are garnished.  There may be times when it's better for creditors if the debtor actually files a Chapter 13 rather than struggling through the various collection steps.  For example, Mullin believes that debtors who can be garnished ought to be in Chapter 13 instead.  He reasons that if they have wages and can afford to pay    at least a portion of their debts, a 13 generates a more equitable distribution than a garnishment by one creditor.

Mullin says he regularly helps clients avoid bankruptcy by negotiating settlements with creditors.  Richie points out   that while most creditors are receptive to settlements based on    a "something is better than nothing" attitude, they    still must be careful to avoid getting a reputation as a creditor that will settle easily.

In an effort to deal with the rising rate of individual bankruptcies, agencies are adjusting    their approach to debtors, being more willing to accept payment arrangements and attempting to counsel people on how to avoid bankruptcy.  "All collection agencies across the country are very much interested in helping mitigate this bankruptcy situation," says Baker.  "We try and counsel people on how to get help with their debts."

Richie agrees that it's important to work to reduce the rate of bankruptcies, but not at creditors' expense.  He asks, "Do you want to lower the number of bankruptcy filings by not requiring people to pay their debts?"

WORKING TOGETHER TO ATTAIN FAIRNESS