The focus is on psychosocial issues in familial cancers, which span multiple generations and cause distress due to witnessing cancer-related deaths. Key psychological issues include unresolved grief, decision-making difficulties, anxiety, and survivor guilt. To tackle these, a detailed history is taken, genetic tests identify syndromes, and support is provided for decision-making and anxiety management. The goal is to help individuals understand genetic tests, make informed decisions, and address psychological issues related to testing and results.