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Explaining Illness to Children

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Lisa Happ, a child psychologist in Washington, D.C., offers these tips for talking to children about a sick relative.
  • Choose a time of day when the child isn’t tired or distracted.
  • Make sure you can look her in the eye and gauge her reaction (a car talk is not ideal).
  • Give her a conversational warning. Try “We have important news.”
  • Don’t feel you have to share all the details at once: State the basics, then answer questions.
  • It’s OK to say “I don’t know, but I’ll try to find out” to any question.
  • Use medical terms, and explain them. Express confidence in the doctors and your hope for recovery.
  • Explain what the illness may mean to the child’s routine: Will someone else be caring for her? Will the relative look different?
  • Check in from time to time to make sure the child understands and feels supported.
  • Inform important people in your child’s world — teachers and babysitters, for example — so they can watch out for signs of stress and avoid falsely reassuring a child (as in “Grandma’s going to be fine” if she’s not).
  • Around ages six to eight, children begin to understand death. If you know the sick person will die soon, explain that to the child — and that it’s OK to be sad or mad or scared.
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