Alt text on BCH Logo

Medical Coping Collection

Ages Prenatal - 24+ Years

When a child has a congenital heart defect (CHD), everyone in the family faces stressors that can be difficult to manage. Feelings of fear, sadness, and anger are normal and expected, but these feelings can become debilitating without treatment and support. The strategies in this collection can help children and their families to withstand the challenges of congenital heart defects, and to remain able to support and enjoy one another.

Daniel Tiger coping card teachers children strategies to use while having an echocardiogram.
Daniel Tiger Coping Card: Electrocardiograph (EKG)

These Coping Cards represent a collaboration between the Cardiac Neurodevelopmental Program at Boston Children's Hospital and Fred Rogers Productions. Each card teaches strategies to cope with a medical procedure. This Coping Card focuses on having an electrocardiograph (EKG or ECG).

Daniel Tiger Boston Children's Hospital coping card for having an echocardiogram.
Daniel Tiger Coping Card: Echocardiogram (Echo)

These Coping Cards represent a collaboration between the Cardiac Neurodevelopmental Program at Boston Children's Hospital and Fred Rogers Productions. Each card teaches children and caregivers strategies to cope with a medical procedure. This Coping Card focuses on having an echocardiogram (echo).

A mother in a white shirt stands behind a little boy with dark hair with a congenital heart defect (CHD).
Medical trauma

Traumatic experiences and post-traumatic stress are common among children and families with complex heart defects. Learn how to recognize, prevent, and treat the symptoms.

A father in a green shirt sits on a couch and shows a picture on a phone to his young daughter, who has black curly hair and a congenital heart defect (CHD).
Preparing for the hospital

Going to the hospital can be much less stressful when you and your family are prepared both logistically and emotionally. This resources guides you through the preparation process.

A little girl with short blond hair and a congenital heart defect (CHD) lies on her stomach on a bed, playing on a computer.
Staying busy in the hospital

These strategies and resources can help caregivers to keep hospitalized children busy, interested, and engaged. When children are able to maintain routines and participate in activities, they are better able to cope with illness.

A mother wearing a blue shirt holds a crying baby with a congenital heart defect (CHD)and black hair.
Reducing delirium

When children are very sick, they can sometimes experience delirium. Preventing and reducing delirium can improve both their emotional and physical health.

A little blond girl with a congenital heart defect (CHD) is dressed as a doctor and uses a pretend stethoscope on a baby doll.
Medical play

Medical play can help people of all ages to understand and process their medical experiences, and to build a reassuring sense of control. This resource will teach you to use medical play from infancy into adulthood.

A grandmother with white hair hugs and kisses a baby with a congenital heart defect (CHD) who is swaddled in a blue blanket.
Ambiguous loss

Children with CHDs and their family members often experience the grief associated with ambiguous loss. When they can name and understand these emotions, they are better able to cope with them. This resource explains ambiguous loss and how to manage it.

A father wearing a gray shirt spoon feeds a baby with a congenital heart defect (CHD) who is wearing a yellow onesie and sitting in a high chair.
Parent mental health

Parents face enormous mental strain when their child has a heart defect. Managing parent mental health is critical for a family's functioning. This article guides parents through understanding and treating their own difficult thoughts and feelings.

A grandmother wearing a pink sari holds a swaddled baby with a congenital heart defect (CHD).
Developmental Care

Developmental Care is a set of practices that promote healthy child development and family functioning within a hospital setting. Using Developmental Care can protect and promote everyone's well-being in the face of serious illness. This collection of resources describes multiple aspects of Developmental Care.

A dad with a green shirt sits on a bed and cuddles his daughter, who has blond hair, a pink outfit, Down Syndrome, and a congenital heart defect (CHD).
Pediatric palliative care

Pediatric palliative care can be an invaluable resource for children and families throughout childhood. Palliative care providers collaborate with families to prioritize their values and goals, focusing on all aspects of functioning.

A girl with black curly hair and a striped shirt and a congenital heart defect (CHD) sits on a sidewalk with her yellow dog.
Mental health resources for kids

These books, videos, and other resources can help kids to understand mental and behavioral health, and to learn strategies to better cope with challenging thoughts and feelings.

A man in a vest holds a little boy with Kabuki Syndrome and a congenital heart defect in a red vest and cowboy hat.
Genetic diagnosis resources for kids

These books, websites, and other resources can help kids to understand genetic diagnoses, and can reduce the fear and stigma that are sometimes associated with these diagnoses.

A child with a congenital heart defect (CHD) is on ECMO.
Coping with ECMO

This resource helps caregivers to support their child before, during, and after ECMO treatment, and gives them suggestions for protecting their own mental health even as they care for their child.

A mother with a striped dress buckles a VAD backpack on a little girl with a congenital heart defect (CHD).
Coping with a VAD

This article explains what to expect when a child has a VAD, and helps caregivers learn coping strategies to use throughout the process.

A mother cuddles in a hospital bed with her young son who has a congenital heart defect (CHD) and is prepared to undergo a heart transplant.
Coping with transplant

This resource describes the process before, during, and after a heart transplant, and explains how caregivers can promote coping in themselves and their children.

Two moms sit outside and look at a book with their daughter, who has a congenital heart defect (CHD).
Preparing for procedures

This resource helps caregivers prepare children to undergo hospital procedures, so that they feel calmer and more in control.

A mother with curly dark hair hugs her toddler son who has a congenital heart defect (CHD) and wears an orange hoodie on a beach.
Anticipatory grief

Anticipatory grief can often create complex and challenging emotions for family members of children with heart defects, and sometimes for the children themselves. Recognizing and labeling anticipatory grief is often the first step towards coping with it effectively.

A mother wears a yellow shirt and a face mask and leans her forehead against the forehead of her daughter, who has a congenital heart defect (CHD) and wears a face mask.
Sharing a diagnosis with kids

Parents often worry about how to talk with children about their diagnosis. This guide will help caregivers to have these conversations with confidence, and to help children feel pride and agency in the face of illness.

A little girl with a congenital heart defect (CHD) sits at the doctor's computer in a cardiology office.
Big feelings and behaviors at the doctor

Children often struggle to manage their emotions and behaviors in a medical setting, especially if they have a history of medical trauma. This video teaches caregivers how to support children to self-regulate when they are in a doctor's office or hospital.

Computer screen shows faces during a zoom webinar at Boston Children's hospital about medical coping and communication.
Communication strategies

Medical encounters can be scary and frustrating if a child is unable to effectively communicate. This video explains why communication can be hard in the hospital or doctor's office, and teaches strategies to help children communicate with caregivers and providers.

Computer screenshot from a zoom webinar at Boston Children's Hospital focusing on managing chronic illness at school.
Chronic illness at school

This video from the Family Medical Coping Initiative at Boston Children's Hospital describes how to manage chronic illness in a school setting.

A little girl with a congenital heart defect (CHD) and autism wears a white shirt and shorts and stands in a grassy field.
Anxiety in children

Children with congenital heart defects (CHDs) are likely to experience higher levels of anxiety than most children. Here is more information about children's anxiety and effective treatments.

A mom walks on the beach holding hands with her son, who has a congenital heart defect (CHD) and autism.
Managing children's anxiety

Parents and other caregivers have a lot of options for helping their children to manage anxiety. This resources describes options.

A little boy with a congenital heart defect (CHD) wears a black jacket and a black face mask and sits on the stone stoop of a house.
Managing medical anxiety

Children with congenital heart defect (CHD) often face anxiety surrounding their health and medical treatments. This webinar describes strategies to help.

A little girl with a congenital heart defect (CHD) wears a pink shirt and braids and draws with chalk on a sidewalk.
Psychotherapy for kids

Kids with heart defects often have big feelings, and are more likely than others to struggle with issues like anxiety, low self-esteem, social problems, and/or depression. Therapy can help.

Two young adults with congenital heart defects (CHDs) and autism stand side by side in the dark, waving sparklers.
Psychotherapy for young adults

Young adults with heart defects often get help from therapists, who can help them to manage their feelings and thoughts, and to meet their goals.

A father holds his son, who has a congenital heart defect and has a red shirt, while a doctor gives a shot in his leg.
Comfort positions

This video teaches caregivers how to use comfort positions to keep children calmer and more content in a medical setting.

A little girl with a congenital heart defect (CHD) wears a summer dress and Hawaiian lei and has a picnic on a hospital floor.
Emerson's story

Emerson spent much of a year in the hospital, waiting for a heart transplant. Her father tells her story, and offers advice for coping with long hospitalizations as a family.

A little boy with a congenital heart defect (CHD) and brown curly hair wears a teal shirt and writes in a notebook.
Home/ hospital (homebound) instruction

Children have a right to free and appropriate public education whether or not they are healthy enough to attend school in person. Learn about how to advocate for your child's education when they are physically out of school.

A mom crouches down by a river next to her toddler son, who has a congenital heart defect (CHD) and wears a blue fleece hat.
Parent guidance

Raising a child with a complex illness can be complicated, and parents can often use additional support and advice. Parent guidance is a type of therapy that can promote medical coping in the whole family.

Two dads cook in a kitchen with their young daughter, who wears a tank top and pony tail and has a congenital heart defect (CHD).
Support networks

We all know it takes a village to raise a child, and a village is even more vital when a child has a congenital heart defect. This article walks caregivers through the process of identifying and building a support network.

Two children look into a hospital bed at their baby brother, who has a congenital heart defect (CHD).
Preparing siblings

When a child learns their sibling has a heart defect, they often feel confused and afraid. This article explains how to talk to children about a sibling's diagnosis, and how to support healthy siblings as they adjust to a new brother or sister.

Two young brothers with congenital heart defects (CHDs) sit on a striped picnic blanket eating.
Sibling supports

These resources can help healthy siblings of children with heart defects to feel seen, validated, and understood.

A pregnant mom who is carrying a child with a congenital heart defect (CHD) wears a blue shirt and drinks some tea.
Pregnancy self-care

Parents often ignore self-care, preferring to focus all of their attention on their child. However, self-care is important for family functioning at any stage, and is especially during pregnancy, when a parent's stress can directly affect a growing fetus. This article describes how a busy parent can integrate self-care into their daily life.

A Child Life Specialists holds up a teddy bear at the bedside of a little girl with a congenital heart defect, who lies under an orange blanket.
Child Life

Child Life Specialists are specially trained to help children cope with medical treatment and hospital admissions. Learn how they can support your family.

A mom and dad sit on a couch with their daughter, who has pigtails and a congenital heart defect, and who is listening to her dad's chest with a stethoscope.
Preparing children for procedures

This video describes how caregivers can prepare children for medical procedures so that they are better able to cope.

A mother puts liquid medicine into a spoon to give to a little boy with a congenital heart defect (CHD).
Swallowing medicine

Keeping up with medical care can be difficult when children struggle to take medicine by mouth. This video describes how to teach children to swallow medicine easily and effectively.

A mother sits cross-legged on the floor, giving liquid medicine to her toddler son, who has a congenital heart defect (CHD).) and autism sit cross-legged next to a tall window, playing foosball.
Medical treatment at home

Children often struggle to keep up with necessary medical treatments and restrictions at home. This video guides caregivers to support kids in adhering to medical plans.

A teacher reads aloud to a classroom of students, several of whom have congenital heart defects (CHDs) and chronic pain.
Pain accommodations at school

When a child experiences chronic pain, they can have a hard time attending school and engaging with instruction. These accommodations can help.

A teen girl with a congenital heart defect smiles and holds a little boy on her back, who has a congenital heart defect (CHD) and Kabuki syndrome.
Addie's and Sam's story

Addie and Sam met when Sam was just a baby, and Addie was preparing for her first heart surgery. They and their families have supported each other for over a decade. Their story shows us how community connections can foster resilience in the face of childhood illness.

A mom in a black shirt holds her daughter on her shoulder in front of a trampoline. Her daughter has a congenital heart defect (CHD) and autism.
Emotional supports for young kids

Young children with heart defects often have big emotions, and may struggle to understand, express, and manage them. Here are some options to get support.

A little boy with a congenital heart defect (CHD) and autism has brown curly hair and a yellow shirt, and paints on an easel.
Emotional supports for kids

Kids with heart defects often struggle to manage and understand big emotions. Intervention can help them to understand, express, and cope with their feelings.

A teen girl with a congenital heart defect (CHD) and autism sits on the floor in front of a laptop, bending over to grab her toes.
Emotional supports for teens

Teens with heart defects frequently manage big and confusing thoughts and feelings. These services can help them to understand and express themselves, and to develop adaptive coping strategies.

A young man with a congenital heart defect (CHD) and autism wears a white shirt and a wide-brimmed hat and looks up at a gray sky.
Emotional supports for adults

Young adults with heart defects sometimes struggle to understand and manage their emotions, especially as they start the face the realities of their prognosis and a more independent life. Interventions can help them to cope.

A mother in a gray sweater holds her baby with a heart defect (CHD) in front of her and smiles into her face.
Emotional support for babies

Babies with heart defects often face high levels of stress, and can have trouble learning self-regulation. These interventions can help.

A boy with a congenital heart defect (CHD) and autism wears a multicolored shirt and sits at a table next to his mom, building with wooden blocks.
Managing challenging behaviors

Children with heart defects sometimes behave in ways that can pose challenges to caregivers, especially when they are managing medical symptoms and treatments. These strategies can help caregivers to effectively manage behaviors in a way that shows love, validation, and respect.

A mother and a little girl with a congenital heart defect (CHD) look at each other and smile while holding red heart balloons.
Managing pain

Chronic pain can severely disrupt a child's life if it is not appropriately managed. These videos explain strategies for managing and living fully with chronic pain.

A child with a congenital heart defect has a bandaid on her arm after a shot.
Shots and needles

Many children are afraid of needles, and shots can be extremely challenging. These strategies can help reduce their distress, and help them move through procedures involving with needs more easily.

Boston Children's Hospital cardiologist Dr. Betsy Blume wears a grayshirt and turns to look at a mom with blond hair and a black cardigan who is talking about her sons with congenital heart defects (CHDs).
Shared decision-making

When providers and families can work together as a team, everyone feels safer and calmer. In this series of videos, Boston Children's Hospital cardiologist Dr. Betsy Blume talks with Katy, the mother of two boys with complex heart defects (CHDs).

Two girls with heart defects (CHDs) and their hair in buns sit on a bench at a summer camp, eating popsicles and laughing.
Heart camps

Disease-specific camps can provide welcome respite and validate for children with heart defects, as well as their parents and siblings. Many camps are free, and many invite the whole family. This resource lists camps by country, region, and state.

A baby with a heart defect (CHD) and black hair sleeps in a carrier on his father's chest, while his mother cups and kisses his head.
Secure attachment in babies

When babies are securely attached to their primary caregivers, they are better able to self-regulate, and to feel safe exploring the world. This article teaches parents how to promote secure attachment.

A little girl with a congenital heart defect (CHD) and short black braids grins and wears a white shirt while she holds hands with her mother and grandmother.
Secure attachment in young children

Secure attachment helps children with heart defects to feel safe, and to cope with the stressors of chronic illness. This article describes how to promote secure attachment in young children.

A little boy with a heart defect (CHD) stands in front of his dad, grinning, holding up a red cake.
Secure attachment in kids and teens

Parents can strengthen their attachment with their child at any age. Secure attachment to a caregiver can help children with heart defects to regulate their thoughts, feelings, and behaviors, and to feel safe enough to embrace challenges.

Two dads sit cross-legged on the floor on either side of their daughter, who wears a yellow shirt, has a black ponytail, and a congenital heart defect (CHD), and is coloring a picture.
Finding a therapist

These resources can help families to locate a therapist who understands their needs, and who can support their coping.

A bunch of hands all together holding onto each other.
Finding community

Finding your place within a community is a key ingredients of successful coping with a chronic illness. This article gives suggestions and resources.

A pregnant woman with long black hair and a yellow dress stands in front of a window with her hand on her belly.
Pregnancy stress

Many pregnant parents feel high levels of stress, and stress is often particularly elevated among parents expecting a baby with a heart defect. Learn how to recognize, understand, and manage stress in pregnancy.

A pregnant woman with black braids and a black dress stands in front of a brick hospital wall as she prepares to give birth to a baby with a congenital heart defect (CHD).
Birth planning

This guide helps parents plan to deliver their baby with a heart defect. Solid preparation can help parents to know what to expect, and to feel calmer and more in control during the experience.

A teen boy with dark hair and a congenital heart defect (CHD) lies in his bed during an episode of depression.
Depressive disorders

Sometimes, people living with congenital heart defects (CHDs) can experience episodes of depression. Recognizing and treating depression early can lead to better outcomes. Read to learn more.

A mother with black hair stands under a tree, holding her daughter, who has black bangs, a white dress, and a congenital heart defect (CHD).
Promoting family resilience

This series of videos is aimed at clinicians, and teachers them how to promote resilience in families managing chronic illness.

Cover slide for workshop from the American Academy of Pediatrics (AAP) on trauma-informed care for infants with heart defects.
Trauma-informed care: infants

This presentation from the American Academy of Pediatrics (AAP) is aimed at clinicians, and describes best practices in trauma-informed care for infants with heart defects and their families.

A slide from a workshop from the American Academy of Pediatrics on trauma informed care for toddlers with heart defects.
Trauma-informed care: toddlers

This presentation from the American Academy of Pediatrics (AAP) teaches best practices in trauma-informed care for toddlers with congenital heart defects (CHDs).

A dad in a white shirt cuddles his infant son, who has a congenital heart defect (CHD) on a white couch, while the baby's mother wears a pink shirt and leans over to look at the baby.
Helping babies manage emotions

Parents can use these strategies to support their babies' emotional development, and to promote coping in little ones with heart defects.

A mother in a leather jacket with short brown hair talks with her toddler son, who wears a brown jacket and has a congenital heart defect (CHD).A woman with a congenital heart defect and brown braids has her arm around the neck of a man with black hair and a beard.
Supporting young children manage emotions

Parents and other caregivers can use these strategies to help young children with heart defects to learn to recognize and cope with big emotions.

A mother in an orange dress knees on a bridge and hugs her son, who has a white shirt and black hair and a congenital heart defect (CHD).
Helping kids manage emotions

Parents and teachers can use these strategies to help kids with heart defects to learn about emotions, and to cope with the big feelings that come along with chronic illness.

A father in a yellow sweater sits on the ground in front of a window and plays guitar with his daughter, who has black braids and a congenital heart defect (CHD).
Helping teens manage emotions

Caregivers can use these strategies to support healthy emotional development in teens with heart defects, and to help them to cope with chronic illness.

A grandmother with short white hair kisses the forehead of her granddaughter, who has a heart defect (CHD) and is kneeling beside her.
Helping young adults manage emotions

Young adults with heart defects often continue to require help in developing emotional intelligence and self-regulation. These strategies can help them to learn to cope with the stress of their illness.

A mother with black hair sits on a pink-canopied bed and reads a book to her young daughter, who has black bangs and a congenital heart defect (CHD).
Resources to understand CHDs

These books, websites, and other resources can help children with heart defects to learn about their diagnosis, and to see representations of other children like themselves.

© 2026 All rights reserved