
How to Announce a Terminal Illness
For many, receiving a terminal diagnosis is one of the most challenging moments in life. It's an incredibly personal journey, and figuring out how to share the news can feel overwhelming.
It's important to remember that there’s no right or wrong way when considering how to announce a terminal illness. This process is deeply individual, and you have the right to choose what feels best for you. It's crucial to acknowledge your own feelings and needs first.
Conflicting or confusing feelings are valid and normal. Take the time you need to process your diagnosis before deciding to share it with others. This guide aims to provide support and suggestions as you navigate this situation so you can make thoughtful decisions about sharing your news.
1. Decide whom you want to tell

You alone get to decide who to tell about your diagnosis. You might want to share the news with everyone right away, or you may prefer to keep it private for a while. The key is to choose what feels right for you. You don't owe this information to anyone. You are in control and can decide who needs to know.
You might also announce in stages. For that, you might first tell your closest family members and friends—particularly those who’ll provide immediate support and comfort. You could wait to inform your wider circle, such as coworkers or neighbors, until you feel ready.
Consider the nature of your relationships when deciding who to tell and when. Some people may be able to offer the emotional or practical support you need, while others might not. It's perfectly fine to prioritize those you believe will provide the most comfort and understanding.
2. Think about a timeline that feels comfortable for you
Everyone has a different timeline for how to announce a terminal illness, and it's important to find one that feels right for you. Some people might choose to share the news as soon as they receive it, while others may wait until they have more information or have processed their emotions.
For instance, you might want to wait until after you've had a chance to discuss your diagnosis with your healthcare team and understand more about your prognosis. Or you might want to tell people who could join your appointments and be a second set of ears or an advocate for you.
Remember, the timeline is yours to control. If you find that telling others is draining you, stop and reconsider how you want to spend your time and energy.
3. Consider the different ways you can tell them the news
There are many ways to share your diagnosis, and choosing the method that feels best for you is crucial. Here are some options:
In-person: This can be intimate and personal, allowing for immediate support and understanding.
Phone call: This is a more personal touch than text or email, but it still allows some distance and the ability to control the length of the conversation.
Text or email: These methods give you the space to share your news without facing immediate reactions.
Video call: This offers a middle ground between in-person and a phone call, providing visual cues without physical presence.
Online platforms: These platforms, such as CaringBridge, allow you to share updates, request support, and connect with your community.
Another consideration is the number of people you want to tell at once. For a more intimate group announcement, video calls reach multiple friends or family members. Conversely, social media allows you to share your update with your entire network at once.
You might also find it helpful to designate a trusted person to share the news with others. This can relieve some of the burden of repeatedly explaining your situation. This person can act as a buffer, helping to manage questions from others and allowing you to focus on your well-being.
Also, think about what you’d like to share beyond your initial diagnosis. Using CaringBridge, for example, can be a practical way to keep everyone updated over time. It allows you to share health news, request practical support like grocery shopping or school drop-offs, and vent your feelings.
It’s also a great place to ask for affirmations or prayers and even link to fundraising platforms like GoFundMe. It's a no-cost online health platform that can be an ongoing resource as you navigate this journey.
4. Determine which method feels best for you
Once you’ve considered the various methods, think about which one aligns best with your comfort and needs. Maybe you feel most at ease writing a CaringBridge Post in which you can carefully choose your words and share when you’re ready. Or perhaps an in-person conversation feels more supportive.
It's also okay to mix different methods depending on who you're telling. You might choose to have a heartfelt, face-to-face conversation with a close family member but send an email to your coworkers. Tailoring your approach to each audience can help you feel more in control and less overwhelmed.
Remember, you can always change your mind and switch to a different method if the first one doesn’t feel right. This is your journey, and you have the flexibility to do what works best for you. It's all about finding the approach that helps you feel the most supported and at peace.
5. Tell people what kind of reactions or affirmations you’d like to hear

People react differently to big health news, and it can be helpful to guide them on how you’d like them to respond. This can help manage their reactions and encourage them to support you in the way that feels most comforting to you.
For instance, you might tell your friends and family that you prefer positive affirmations and uplifting messages. Or, you may want candid, honest conversations that acknowledge your concerns and fears without treading into “toxic positivity.” By setting these expectations, you can create a more supportive environment for yourself.
6. Let people know how they can help you
When you announce your diagnosis, people will often want to help but might not know how. Letting them know what kind of support you need can be beneficial for everyone.
This could be practical help, like driving you to appointments, cooking meals, or taking care of daily chores. You might ask a close friend to coordinate a meal train or request that your sibling communicate updates to extended family.
It might also be emotional support as you consider your emotional and mental well-being. Let people know if you need someone to simply sit with you, listen to you, or provide a distraction with fun activities. Ask for the kind of companionship that helps you feel better.
You may also find it helpful to create a list of tasks or ways people can help and share it with your community. This could be through a shared document, an online health platform like CaringBridge, or a group chat. Clear communication about your needs can empower your friends and family to step in and provide the right kind of support when you need it most.
What to expect when you announce
When you share your diagnosis, be prepared for a range of reactions. Some people may respond immediately with kindness and support, while others might not know what to say.
There could be people who react emotionally, or those who offer unsolicited advice or ask invasive questions. Many people try to offer suggestions or ask questions about your treatment, so be prepared to redirect unhelpful conversations. Your treatment is your choice to disclose.
Understand that well-meaning people sometimes miss the mark. They may not know how to react appropriately, but that doesn’t mean they don’t care. Reiterate your preferences on how they can support you best, and don't be afraid to remind them of the boundaries you’ve set.
What advice would you share?
As you navigate how to announce a terminal illness, you might find certain strategies or approaches particularly helpful. Sharing these experiences and offering advice can be invaluable to others in similar situations. They can provide the hope and support people need. We invite you to share your stories and tips in the comments below.