
When a Parent's Life is Limited
Telling your children that their parent is seriously ill is one of the hardest things you'll ever have to do. There's no perfect moment and no script. But most children cope better than you might think. When they know the truth, told gently and in words they can understand, children feel safe and loved by the adults who care for them.
By the age of 16, around 1 in 20 young people in the UK will have experienced the death of a parent. You are not the only family navigating this.
Below is what we learned, and what helped us as we went through it. We hope some of it helps you.
The Rowland Family
When Mark died in 2025 our children were 8, 11 and 13 years old. Thinking about how his death would affect them was awful for us both.
When he was diagnosed, we all received counselling support from specialist professionals at The Fountain Centre, who help families living with cancer. With their guidance, we were able to talk to each of our children in age-appropriate ways about their dad's illness as it progressed.
Counselling allowed me to understand my experience of anticipatory grief. And it helped us to prepare for the hardest conversations of our life, so we could support them before and after Mark died.
It helped me to feel that we'd done our best, and ultimately meant that Mark could die in peace.

A Few Tips That We Learned on the Way
Tell Them What's Happening
The instinct to protect our kids from harm was very strong. Every part of us wanted to not tell them that their dad was ill and dying. But we also knew they'd guess at some point, they might google partial information, blame us for hiding the facts or blame themselves for changes they could see. We realised that we couldn't shield them from sadness. And so, we supported them by openly sharing our feelings.
Agree on What You'll Say
When things changed we agreed on the facts together, then decided who to tell. We called it, "one truth". We didn't always tell everyone everything; it was sometimes too uncertain to share. But we never lied. If the kids asked, we never denied them the truth. We said, "I don't know" or shared our "one truth", even the hard truth. The kids did not take in all the facts, but we never denied it. And that matters now.
Share at Their Pace
Our kids have a six year age gap, so they had different questions based on the complexity they could handle. We always kept to the same facts, and to reduce overwhelm we adapted the words or details to suit their age. We encouraged them to keep asking questions, so they got the whole truth in their own time, in "bite-size" details that they could cope with. Learn more from the Ruth Strauss Foundation here.
Together and Alone
Sometimes talking about it one-on-one was better, and at other times our kids benefitted from hearing each other's questions. There was no fixed formula to talking, but we encouraged cross-pollination of information between our children so they could learn to support each other. They seemed to help each other to feel safe. We also sometimes "let them" hear the adults talk, so they could ask their own questions.
Get Others to Help
Giving each child focused attention, plus doing the normal everyday stuff, is exhausting. Sometimes we didn't have the energy to care for our kids, or appointments meant we couldn't be there. Other family members, friends and teachers were crucial to help our kids feel loved, even on tough days. Now those relationships help them to share their grief, and they've learned which adults in their lives "get it".
Give Them Space
Usually our kids needed a break to recover from deep conversation or emotionally intense moments. They seem hard wired to avoid overwhelm and often needed to take a break from their feelings. We actively encouraged the activities which felt fun for them, together or alone. For instance getting outside, baking or listening to music. Some days that became the most important way to spend time.
Be a Safe Space
Our kids needed to be active in their own lives, at school and with friends. They wanted to forget about it all when possible. But they also needed to let it out at home. Often when the front door closed or their head hit the pillow it all came out. We still need more days now with nothing on than before, because being alone at home is the only space that they feel safe enough to process their really difficult or big emotions.
Protect Free Time
The school holidays are crucial for processing emotions together. They give extended time as a family to talk, listen, play and laugh, without routine limits to our day. We made as many lasting memories as we could on the days that Mark was well. It helps our kids now to know how to remember their dad, and they enjoy doing those things, because they remember that he loved doing it with them.
Maintain the Routine
Incurable illness can make everyday life unpredictable; things can change dramatically in hours. Maintaining routines on a "good day" can help everyone to feel safe and more in control on a "bad day". It might be boring to be organised, but practical support reduces cognitive load and, if "normal" life has a predictable structure, it's easier for kids to advocate for themselves.
Caring for Neurodivergent Children During Terminal Illness
Many people have found that previous neurodivergence in their family becomes more pronounced during anticipatory grief and bereavement.
There's no "right" way to support your children, other than loving them. You can become an advocate for what a "good day" looks like in your household. Maintaining routines often helps everyone to feel safer and more in control. Planning the timing and appropriate level of information in conversations becomes even more important. As well as identifying triggering words, experiences which overwhelm or topics which are best to avoid.
With extended breaks between activities or social contact, all children can begin to learn about how this change in their family affects them. Young people are naturally inclined to self-advocate for their own well-being, your job is to support that, if possible.
It can help to identify the adults (other than you) who your child feels able to be with on a "bad day", and encourage them to learn to trust others by sharing their feelings. Many schools have trained staff on bereavement, neurodivergence and ELSA support. The Ruth Strauss Foundation offer training for schools.
Cruse offer neurodivergent support here. And Child Bereavement UK specifically think about autism and bereavement here.
Support During Pregnancy and Terminal Illness
Expecting a baby while also navigating a terminal illness is exceptionally complex and challenging. Emotions can become intense during either of these major life transitions.
It's understandable if you can't manage your stress levels or find it hard to cope. Your family is exceptional. Your GP, local hospice and charities such as Cruse will be able to suggest support which suits your specific needs.
Therapy can be supportive for complex grief. Find out more here.

Making Memories
Willow is open to people under 40 years old in the UK being treated for a life-threatening illness, to help them make precious memories with their loved ones. Many companies and charities also offer extra support to families with terminal illness.
Making memories together doesn't need to involve grand gestures or expensive treats. A sleepover in the lounge, ice-cream for breakfast, board game Olympics, or making a playlist together are low cost, low energy examples of moments which can last a lifetime.
Empowering Caregivers
Who can support your family through love and loss?
Dealing with your own emotions while also parenting your child can be really difficult. The routine of everyday childcare can be lonely and isolating, especially while also living with a serious illness. Teenagers can be challenging, regardless of your family's circumstances. There's rarely an easy path through it all.
Having help from other caregivers gives you the chance to rest or refocus. It often starts with organising your time around the ways others can support you and your children. Involving them in practical, specific and regular activities, such as making meals, providing transport, calling for a weekly chat, playing sport with your kids, or planning trips, can take some of the load off your list.
We've listed the charities, resources and references which helped our families here.

