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Genetic counseling--still mostly genetics.

After he has counseled parents who have been referred to him because their child was born with a birth defect, Henry Nadler, MD, director of medical genetics and professor of pediatrics at Northwestern University Medical School in Chicago, usually asks them leading nonmedical questions, such as "How are the other children taking the news?" or "Have you had any trouble handling your friends' responses?" "Sometimes people break down in response to these questions and confess that they have been hiding the news from their children or their friends," Nadler told JAMA MEDICAL NEWS. "It is clear that they have had difficulty talking to other people about their child's birth defect but they were not sure whether they should bring up their concern in the counseling session. I believe it is perfectly reasonable for a genetic counselor to deal with these emotional problems," he said, "and a good counselor can bring