How to Talk About Rare Diagnoses with Dignity
- Amanda Evans
- Feb 24
- 3 min read

A plain‑language guide for caregivers, professionals, and anyone trying to speak about the uncommon with respect and clarity
Talking about rare or low‑incidence diagnoses can feel intimidating. Not because people don’t care — but because they’re afraid of saying the wrong thing, using the wrong term, or accidentally causing harm. And when something is unfamiliar, it’s easy to default to silence, awkwardness, or overly clinical language that doesn’t match the real human experience.
But here’s the truth:You don’t need a medical degree to talk about rare diagnoses with dignity. You just need a few grounding principles, a little curiosity, and a willingness to speak like a human instead of a textbook.
Let’s break it down in plain language.
1. Lead with the person, not the diagnosis
This isn’t about avoiding the word — it’s about avoiding letting the word take over the person.
Instead of:
“She’s a ___ kid.”
Try:
“She’s a kid who has ___.”
It’s a small shift with a big impact. It reminds everyone that the diagnosis is one part of a much bigger story.
2. Use the language the person or family prefers
Every family has their own comfort zone.Some use the clinical term.Some use a nickname.Some avoid labels altogether.
A simple, respectful approach is:“Is there language you prefer when we talk about this?”
It’s not intrusive — it’s collaborative.
3. Avoid “rare = tragic” language
People often slip into dramatic phrasing without realizing it:
“That must be so hard.”
“I can’t imagine.”
“Wow, that’s really severe.”
These comments usually come from empathy, but they land as pity.
A dignity-centered alternative is curiosity without assumption:“Thanks for sharing that with me. What does support look like for you right now?”
This keeps the focus on the person, not the diagnosis.
4. Don’t turn the diagnosis into the whole story
Rare diagnoses often come with long explanations, complicated histories, and a lot of unknowns.But that doesn’t mean every conversation has to turn into a medical deep-dive.
It’s okay to say:“I’m not familiar with that one — would you like to share what it means for you, or would you prefer we focus on what support looks like?”
This gives the person control over the conversation.
5. Skip the “fix-it” mindset
When something is unfamiliar, people often jump to solutions:
“Have you tried…?”
“I read about a treatment…”
“My friend’s cousin’s neighbor has that and they…”
Rare diagnoses don’t need fixing — they need understanding.
A better approach is:“How can I support you or make things easier in this setting?”
6. Use plain language — not clinical jargon
You don’t need to memorize terminology to be respectful. In fact, overly clinical language can create distance.
Instead of:
“Presenting with atypical features…”
Try:
“Here’s what I’m noticing…”
Instead of:
“Demonstrates maladaptive behaviors…”
Try:
“Here’s what seems hard for them right now…”
Plain language is dignity language.
7. Normalize not knowing
Rare diagnoses are… rare. It’s okay not to know everything — or anything.
A simple, respectful phrase is:“I haven’t heard of that before, but I’m open to learning.”
This communicates humility, not ignorance.
8. Center strengths, not deficits
Rare diagnoses often come with long lists of challenges.But every person has strengths, preferences, and ways of moving through the world that deserve equal airtime.
Try adding:“One thing I’ve noticed they do really well is…”or“What are some things they enjoy or feel confident with?”
This shifts the tone from “What’s wrong?” to “Who is this person?”
A Quick, Human Summary
Talking about rare diagnoses with dignity means:
leading with the person
using preferred language
avoiding pity
staying curious
skipping the fix-it mindset
using plain language
normalizing not knowing
centering strengths
It’s not about perfection. It’s about presence, respect, and humanity.
Want more plain‑language guidance?
Know Body Better shares tools and explanations that help families, professionals, and communities talk about the uncommon with clarity, confidence, and dignity.



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