The topic of fertility can be difficult for young patients and their families. I liked how the psychologist started off by asking what the family already knew or had been told about fertility. He then went through in a step-wise fashion on why the patient was at an increased risk of infertility, which I think is helpful for patients and families to grasp more fully. This family seemed to be struggling to comprehend the new information, so I think it could be very valuable to provide adequate follow-up in a time sensitive manner. Patients and families are trying to grasp the reality of the new diagnosis, and therefore may need time to even process what this risk could impose later in life when all they want to do is survive in the first place. It may also be important to separate the adolescent and parents, as the patient may not feel comfortable asking questions or sharing his own thoughts with his parents present.