Should I tell my children the truth about advanced cancer?

Yes. It is best to be as open as you can with your children about advanced cancer.

Children of all ages can sense when things are wrong, and keeping their trust is very important. Being honest helps them cope. Children who are not told the truth about an illness can become even more scared, because they often use their imagination and fears to explain the changes around them.

When you talk with children, try to be clear and simple, using words they can understand. Let them know that nothing they did or said caused the cancer and that they cannot catch it. Tell them you love them, that it is okay to feel upset, angry, or scared, and that they will always be taken care of and loved. Invite their questions and answer as honestly as you can. A counselor or oncology social worker can suggest ways to talk with children in language they understand.