Bobbi Kristina Update: How Bobby and Family Are Coping with Life Support Decision

UPDATE: Bobbi Kristina Brown has been moved to a new facility. Details here.

Bobby Brown and the Houston family face some tough decisions ahead, as Bobbi Kristina Brown remains in a coma, her condition unchanged.

As a new report from RadarOnline claims that Bobby is "praying that God will make the decision for him," ExtraTV.com has spoken with an expert about how a crisis of this caliber can impact the family.

John Tsilimparis, a licensed marriage and family therapist in Los Angeles who has never treated the Browns or Houstons, explained that making an end-of-life decision for someone can cause a “great sense of fear and a great sense of pressure to make that decision, especially if it is down to one or two people… they will suffer thoughts of uncertainty. There are always the questions, 'What if she wakes up?' or 'What if she gets better?'”

Tsilimparis said “open and honest” communication between family members and empathetic listening are key, and that “nobody should have to make big decisions on their own.”

Situations like this can be extremely stressful, “It's an incredible roller coaster ride… the reason being is that the uncertainty of what is going to happen to the loved one, in this case, Bobbi Kristina, exposes the family to a heightened level of psychological stress. It causes increased stress hormone levels, especially if it is for an extended period of time, and as a result of that, people get exhausted, they get fatigued, they suffer insomnia, digestive problems, feelings of depression and grief. People suffer from post-traumatic stress disorder, PTSD. It is traumatic to see their loved one in such a helpless state.”

Tsilimparis added, “Guilt is also a very crushing feeling to have during this time. When you see someone you love in a very vulnerable state like that, you tend to think about things that you regret having said to them or not having said to them.”

While it is important for families to band together and try to accept a new normal, they can also try to develop daily tasks to support each other. Tsilimparis says bereavement experts suggest duties like cooking meals for the other family members can add structure and meaning to the daily routine.