Childhood cancer is tough on a family, but it is also hard on relatives and friends of the family. Let them know that your child is being treated for cancer. Ask trusted family members and close friends for help with household chores or caring for siblings. Having a child with cancer is a crisis in your family, and other people can and will want to help.

You may also want to tell people in your community, at work, school, and religious community. It helps when those around you understand what you are going through. Also, people can help you in different ways. They may have a similar story and can offer support, or they may be able to help you run errands or cover a work shift.

It can be hard to keep everyone updated on what is going on. Repeating news can be tiring. Online e-mails or social networks are a great way to update the people in your life. You can also receive kind words of support this way. You may want to ask another family member to be the point person to update people and let them know what they can do to help. This will allow you to get support without having to manage it.

Once you let people know, do not be afraid to set boundaries. You may feel grateful that people want to help. But sometimes that help and support can feel overwhelming. The most important thing for you and your family is to focus on caring for your child and for one another. When talking with others:

• Be open and honest
• Show and tell others how you and your child want to be treated
• Let people know if they are giving you or your child too much attention

Many health care providers and groups are available to help you cope with having a child with cancer. You can reach out to:

• Your health care team
• Mental health counselors
• Online and social media support groups
• Community groups
• Local hospital classes and groups
• Religious congregation
• Self-help books

Talk with a hospital social worker or a local foundation to get help with services or expenses. Private companies and community organizations can also help with insurance filing and finding money to pay for expenses.

By taking care of yourself, you will show your child how to enjoy what life has to offer.

• Exercise regularly and eat a healthy diet. Taking care of your body can give you energy to work with your child and providers. Your child will benefit from having healthy parents.
• Take special time alone with your spouse and other children and friends. Talk about things other than your child's cancer.
• Make time for yourself to do things you liked to do before your child got sick. Doing things you enjoy will help keep you balanced and reduce stress. If you feel calm, you will be better able to cope with what comes your way.
• You may have to spend a lot of time in waiting rooms. Think of something quiet you enjoy, like reading books or magazines, knitting, art, or doing a puzzle. Bring these things with you to enjoy while you wait. You might even do breathing exercises or yoga to help reduce stress.

Do not feel guilty about taking delight in life. It is healthy for your child to see you smile and hear you laugh. That makes it OK for your child to feel positive too.

These websites have online support groups, books, advice, and information about dealing with childhood cancer.

• American Cancer Society - www.cancer.org
• Children's Oncology Group - www.childrensoncologygroup.org
• American Childhood Cancer Organization - www.acco.org
• CureSearch for Children's Cancer - curesearch.org
• National Cancer Institute - www.cancer.gov

American Cancer Society website. Finding help and support when your child has cancer. www.cancer.org/content/cancer/en/treatment/children-and-cancer/when-your-child-has-cancer/during-treatment/help-and-support.html. Updated September 21, 2017. Accessed November 4, 2022.

Liptak C, Zeltzer LM, Recklitis CJ. Psychosocial care of the child and family. In: Orkin SH, Fisher DE, Ginsburg D, Look AT, Lux SE, Nathan DG, eds. Nathan and Oski's Hematology and Oncology of Infancy and Childhood. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 73.

National Cancer Institute website. Children with cancer: A guide for parents. www.cancer.gov/publications/patient-education/children-with-cancer.pdf. Updated September 2015. Accessed November 4, 2022.

Updated by: Stergios Zacharoulis, MD, Associate Professor of Pediatric Oncology at Columbia University Irving Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.