When someone in the family has a life-threatening illness, the whole family is impacted by the many changes, the concerns and the unknown. Adults may choose to avoid talking to children about the illness to protect them from pain and distress. However, when children are not informed, they often feel excluded, alone and isolated. It’s important to consider that children will feel something is going on in their family even when they are not told. They may even think that they have caused the anxiety and unsettled state of their family.