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In the video, Patti discusses how to manage debt effectively. She suggests two primary actions: reducing expenses and increasing income, which can be achieved by selling items or obtaining additional work. If you've minimized expenses and are still struggling, she advises seeking a bank restructuring. To illustrate this, she presents an analogy of a large family living in a big house. They realize they can't afford the expenses of the entire house, including electricity, heating, and maintenance. As a solution, they decide to close off the two wings and consolidate everyone into the main part of the house, creating a tighter living space but making it manageable financially.