28/11/2024
Genetic counselling and testing are not just about understanding DNA; they’re about understanding people. Clients come with their own stories, hopes, and fears, and the journey through accessing genetic information often stirs deep emotions.
Anxiety and uncertainty about the future is very common. Genetic testing leads to questions like: What will the genetic results show? How will this impact my future? How will it impact my family?
Guilt and responsibility stem from feeling it is our fault others in the family, particularly children, are at risk of a genetic illness. Or it may come about because someone is the only one of their siblings who does not have a genetic condition.
Many people with a family history of a genetic condition have lost loved ones or have seen them change as an illness progresses. They may also feel loss for a future they hoped to experience; one without the impact of a genetic condition.
Given most genetic conditions are rare, people affected can feel isolated or alone, with few people (including health professionals) truly understanding their experiences.
There are lots of decisions to make when faced with genetic testing, often with no clear right or wrong choice. It can be overwhelming trying to figure out which is the right choice for your unique circumstances, beliefs and values.
Knowing ourselves and who we are is impacted by so many things, including our health. Genetic testing can destabilase our idea of who we are and who we will be in the future.
Once results are available, there can be a sense of relief, but there can also be so much to adjust to - new treatments, new options for having children, new healthcare providers to meet. There can be a lot of change.
With so much potential emotion involved, genetic counsellors are essential for supporting people through genetic testing. With skills like empathy, clear communication and a knowledge of the potential impact of genetic testing, genetic counsellors are able to navigate the emotions that are present and gently guide someone through them.
I've included a few of the skills I use regularly to help clients. Can you think of any more?