A cancer diagnosis has a profound effect on the entire family, especially when it is a child who is diagnosed. While you, family and friends are understandably focused on the care of the ill child, your healthy children may feel isolated and believe their needs are being neglected. Activities may be reduced or eliminated (i.e. there is simply no one to take them to soccer practice or a movie). If they complain, sometimes they are told they’re being selfish and should be happy that they’re healthy. As a result, these children may have feelings of hopelessness, anger, fear and sadness. It helps to talk to your children about their feelings.

Here are some steps you can take to ease your children’s anxiety:

Tell your children it is not their fault. Some children will believe they did something wrong and it is their fault that their brother or sister got cancer. They may have called their sibling a bad name or wished they were an only child. It is important to talk with your children to help them understand they did nothing wrong and they did not cause the cancer. Talking with children includes listening to them and being sure you understand what they are saying.

Give age-appropriate, accurate and honest information about the cancer. Trying to “protect” your children by shielding information does not work. They can sense that something is wrong and will do everything they can to find out the truth, even if it means letting their imagination fill in the blanks. Use the word cancer; do not be afraid of it. Answer all of your children’s questions honestly. You don’t have to be pessimistic or go into details or statistics about the disease to be honest. You can be realistic while remaining hopeful.

Prepare the well children for changes in the ill child’s appearance. Cancer treatment can affect the ill child’s appearance, including hair loss and weight loss or gain. These changes can be frightening for the other children. Talking about possible changes in appearance ahead of time will reduce the fear and allow the well children to be more accepting.

Ask the well children to help and be involved in the ill child’s care. Allowing a child to help is a wonderful way of letting the child feel important, but keep the tasks age-appropriate. For a young child, getting a glass of water may be enough. The older the child is the more he/she can do for the family.

Make time to be with the well children. As a parent, it is important to make time to be with all your children and to let them know that they are still special to you. You can explain that the ill child needs a lot of attention right now but that does not mean you love the ill child more then you love them. You can also ask a neighbor, relative, or school professional to be a special friend to the well child. Pick someone the child knows, and trusts, and ask that person to be there if the child needs someone when you are not available.

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The information presented in this publication is provided for your general information only. It is not intended as medical advice and should not be relied upon as a substitute for consultations with qualified health professionals who are aware of your specific situation. We encourage you to take information and questions back to your individual health care provider as a way of creating a dialogue and partnership about your cancer and your treatment.