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Common Questions on Helping Kids Cope
When The Parent Has Cancer

My child is asking me questions about cancer. Can you tell me what kinds of questions other kids commonly ask? And do you have tips on what to say?

What is cancer?
Keep it simple.
"Cancer is caused when cells grow too fast and form things called tumors."

Is it my fault?
Children need to hear over and over that the cancer is not their fault. Younger children, and even older children, may feel they did or wished something that caused your cancer. Let them know that your cancer was not caused by anything they did or did not do. "It's not your fault. We don't know what causes cancer, but a lot of people are trying to find out."

Can I catch cancer from you?
Many children are afraid that they, and other family members, can catch cancer. They need to be told many times that cancer isn’t something that gets passed on from person to person. "You can't catch cancer like a cold or the flu. You will not get sick. Hugs make moms and dads feel better."

Who is going to take care of me?
Let the child know what the treatment schedule is going to be, and how it will impact daily life. Who will be picking them up from school? Can they still go to a birthday party? Can friends come over to play?

Are you going to die?
Some parents fear that their children will ask, "Are you going to die?" If children do, it is usually because they have known someone who had cancer and died. In that case, it is important to talk about how your cancer is different. "I'm going to do everything the doctors and nurses tell me to do so that I can be healthy and well. No matter what happens, I'm still your mom or dad."

I’m usually pretty good at talking with my child about what’s going on. But I feel so overwhelmed, it’s hard to do that right now. Do you have any advice on helping my child cope now that I’ve been diagnosed?

Talk about feelings
Let children talk about how they are feeling. They can feel sad, worried, frightened or left out. Let them know their feelings can change from day to day and that is ok.

Keep routines as normal as possible
Help older children get to school and keep up other activities. Younger children will need regular bath and bedtime routines.

Create a support system for the kids
Call the child’s school or day care provider and let them know what has happened. Teachers and school counselors can help support yourchild. Let your child know that you have told adults and he/she can go to them if he/she is upset.

My kids seem more interested in the television than me. Is this normal?
Talk with your children to see if they have more questions and to see how they are feeling. They may not have any more questions at that moment or they might not feel like talking. Children tend to cope by dealing with what they can handle at the moment. It might seem strange that they want to play with their friends or watch TV. They may get upset at another time. Let the child know that he/she can come to you when they feel upset.

How will I know if my child is having trouble coping with my illness? Are there any signs I should look out for?
It is normal for children to be upset, or distressed when a parent has cancer. Your child may:

  • Have nightmares or difficulty sleeping
  • Be clingy, and not want to leave you
  • Eat more or less than usual
  • Younger children may have toileting accidents, bedwetting, and thumb sucking
  • Act out at school or at home
  • Complain of feeling ill (stomachaches or headaches)
  • Express feeling worried, sad or angry
  • Withdraw from friends or not want to do their normal activities

My child has been having these problems for a few weeks. Is there anyone I can talk to about this?
After a few weeks, if your children are continuing to have problems, they might be telling you they need some help coping. To sort out if the concerns are a temporary adjustment or something that needs more attention, talk to your:

  • Pediatrician
  • Oncology social worker
  • Member of the PACT program

Do you have a list of websites, books, and other resources on cancer basics?
Information Finder on Helping Kids Cope

You may also be interested in other topics:

Revised 2008

Harvard Medical School - Teaching Affiliate  
Treadwell Library | Blum Learning Center