Debt Settlement and Credit Counseling are not the only ways to handle your problems. There are other options, but they have their own unique problems.
This is going to be the most expensive of options. Many credit card companies, for example, only require that you pay a small amount of your principle every month, with the majority of your minimum payment going to any intrest you accrued in the previous month. This means that, depending on the balance of your credit card, you might be paying it off for the next few decades.
This is usually the first thing home owners consider when trying to pay off the debt they have accumulated. On the surface, it seems to be an easy way to convert multiple payments into one, get a lower monthly payment, and a lower interest rate. HOWEVER, your debt has now become SECURED. Your home now backs your debt. If you are unable to pay, then your home is at risk. Plus, you have just paid one debt with another. This only delays the problem, without really fixing it. Make sure that the payments you make from month to month will never be a problem for you.
Bankruptcy can be very damaging, and will not only have bad long-term effects on your credit, but will take a huge emotional toll as well. If you have exhausted all other options, then you should contact a local attorney to discuss it. But please, make sure this really is your last and only hope.