Your Journey

A diagnosis or genetic explanation

A genetic result can help explain what is happening, confirm or clarify a diagnosis, or identify an underlying genetic cause. It may also raise new questions about healthcare, family, daily life or what happens next.

For some people, a diagnosis can bring recognition after years of appointments, uncertainty, earlier explanations that did not fully fit, or feeling that their concerns were not fully understood. For others, it may change little immediately or raise as many questions as it answers. Getting an answer does not erase what it may have taken to get there.

You do not need to understand everything at once. A useful place to start is what the result means for care now, what needs follow-up, and what can be revisited later.

Start with what the result means for you now

Ask for the result to be explained in plain language, including what was found, what remains uncertain and what it means for you now.

If these points are not covered, you may want to ask:

  • Does this confirm or change an existing diagnosis?
  • What symptoms or features does the result explain, and what does it not explain?
  • Does it change treatment, therapies, screening or monitoring?
  • Is any further assessment, testing or referral recommended?
  • If so, who is responsible for arranging the next step, and when should it happen?
  • Could this result be relevant to biological relatives?
  • Could it be relevant to pregnancy or family-planning decisions?

Tip: Keep your genetic report somewhere easy to find

You may need your laboratory report and clinic letter many times over the years, including when seeing a new specialist, arranging follow-up care, revisiting genetic testing, discussing family implications or planning a pregnancy.

Keeping the original documents can save you from having to reconstruct the history later and helps healthcare professionals see exactly what was tested and found.

Ask who to contact if you have questions later, and whether anything should prompt you to get back in touch.

Understanding the condition beyond the diagnosis

Clinical information can explain genetics, health needs and what is currently known about a condition. It may not show the full picture of everyday life.

Condition-specific organisations and people with lived experience can provide practical perspectives on daily life, healthcare, school, work, disability, family relationships and other aspects of living with a condition.

Experiences can vary widely, including among people with the same diagnosis. Lived experience can add to clinical information, but it cannot predict one person’s experience.

By the time a rare diagnosis is made, you or your family may already know a great deal about symptoms, patterns, what helps and what has been tried. That knowledge remains important alongside new clinical information and can help shape questions, care planning and what matters most to you.

Find a condition or support organisation through GAA →

Finding reliable information and expertise

A good Australian starting point is the RARE Portal, which brings together rare-disease information, support and practical guidance.

Search the RARE Portal Rare Disease Directory →

For a rare or ultra-rare condition, your usual healthcare professionals may not have seen the condition before. An exact local expert or formal management guideline may not exist.

Depending on the condition, useful sources of expertise may include:

  • clinicians or multidisciplinary services with experience in the relevant symptoms or body systems
  • specialist centres or research teams in Australia or overseas
  • current management guidance, expert reviews or GeneReviews, where these exist
  • condition-specific organisations and international rare-disease networks.

Finding healthcare for a rare disease: RARE Portal →

Tip: Bring what you find into the conversation

For rare and ultra-rare conditions, people and families often build significant knowledge over time and may find relevant research, guidance or expert networks themselves. Share anything that seems useful with your healthcare team so you can consider together whether, and how, it may apply to your situation.

More trusted condition information

A US National Institutes of Health resource with plain-language information about thousands of genetic and rare conditions.

Search GARD →

An international reference resource for rare diseases, including information about conditions, genes, expert services, registries and research.

Search Orphanet →

Particularly useful for rare chromosome and gene disorders associated with developmental differences. Unique provides detailed family-friendly condition guides, practical information and lived-experience support.

Explore Unique →

Expert-written clinical summaries are available for some genetic conditions and can include information about diagnosis, management, surveillance and genetic counselling.

Search GeneReviews →

Condition information describes what has been reported across a group of people. It cannot predict exactly what one person will experience. Ask your healthcare team which parts of the information are most relevant to your result, health and circumstances.

Ask a Genetic Health Navigator to help you find reliable information relevant to your situation →

If the test found something unrelated to the reason you were tested

Sometimes genomic testing identifies information that is unrelated to the original reason for testing but may still be relevant to your health or to biological relatives.

An incidental finding is generally an unexpected finding that is discovered without being deliberately searched for. A secondary finding is generally a result from genes deliberately analysed beyond the original diagnostic question, often because the finding may have health implications. Terminology and reporting practices can vary between services.

If this happens, ask the healthcare professional explaining the result:

  • whether the finding arose unexpectedly or was deliberately looked for as a secondary finding, and whether that affects how it should be understood
  • what is known about the finding
  • whether any healthcare, screening or follow-up is recommended
  • whether it could be relevant to biological relatives
  • whether genetic counselling would be useful

Centre for Genetics Education: Incidental findings in genomic testing →

Family, privacy and sharing

Ask for the result to be explained in plain language, including what was found, what remains uncertain and what it means for you now.

If these points are not covered, you may want to ask:

  • Does this confirm or change an existing diagnosis?
  • What symptoms or features does the result explain, and what does it not explain?
  • Does it change treatment, therapies, screening or monitoring?
  • Is any further assessment, testing or referral recommended?
  • If so, who is responsible for arranging the next step, and when should it happen?
  • Could this result be relevant to biological relatives?
  • Could it be relevant to pregnancy or family-planning decisions?

Some genetic results may also be relevant to biological relatives. Your genetics team or genetic counsellor should explain whether this applies to your result.

You may want to ask:

  • Which relatives, if any, might need to know?
  • Is genetic counselling or testing recommended for them?
  • Is there any reason sharing the information is time-sensitive?
  • Can you give me a family letter or other information to share?

Many genetics services can provide a family letter explaining the result and how relatives can seek further information or testing.

Centre for Genetics Education: Talking to your family about a genetic diagnosis or test result →

Telling people on your terms

A diagnosis can mean explaining something new to family, friends, work, school or other people in your life. You do not have to tell everyone the whole story.

It can help to think about:

  • Why am I sharing this? What do I want this person to understand or be able to help with?
  • What do they actually need to know? Sometimes explaining what you or your child needs is more useful than sharing every medical or genetic detail.
  • What do I want to keep private? You can set boundaries around questions or parts of the story you do not want to discuss.
  • Would something in writing help? A short summary or letter can sometimes save you having to explain the same information repeatedly.

You can share more later if you choose. What feels right may be different with different people and may change over time.

If you are sharing information about your child, partner or another person, consider their privacy and preferences too, where possible.

Want more help having the conversation? Rareminds has practical guidance for talking about a rare condition in different relationships and situations, including with children and young people.

Rareminds: Talking about your rare condition →

Connecting with others who understand

Connecting with other people can offer something different from clinical information, including practical experience, shared understanding and a sense of what everyday life with a rare condition can look like.

For some people, finding a condition community is one of the first things they want to do after diagnosis. Others need more time, prefer one-to-one connection, or simply want to know that support is available if they need it later.

When a condition is very rare, there may not be an Australian organisation or a large community for that specific diagnosis. Connection may instead come through an international condition group, people with related conditions, a broader rare-disease community, or others who share experiences of disability, complex healthcare or uncertainty.

You can connect as much or as little as feels useful. That might mean reading information, quietly following a group, speaking with one other person, becoming involved in a community, or coming back to it later.

GAA can help you look for a condition organisation in Australia or overseas, a broader rare or undiagnosed community, or one-to-one peer connection through Family Matching.

Find a condition or support organisation →

Ask GAA about Family Matching or other peer connection →

If you are considering joining an online or peer community, the RARE Portal also has guidance on recognising helpful and trustworthy rare-disease support groups.

Finding helpful peer and community supports: RARE Portal →

Support after testing

Support after testing can be practical, emotional or both. Depending on what is happening, this might include counselling or mental health support, social work, grief support, carer support, disability or NDIS assistance, or help navigating healthcare and services.

People respond to genetic results in different ways, and that can change over time. A diagnosis may bring answers, new questions, mixed feelings or simply more things to organise. There is no set timetable for making sense of it or deciding what support feels useful.

Rareminds Wellbeing Hub

Rareminds UK offers rare-specific wellbeing information about diagnosis and uncertainty, relationships, family life, communicating about a condition and navigating healthcare.

Explore the Rareminds Wellbeing Hub →

For Australian rare-disease information and service pathways:

RARE Portal: Mental health and wellbeing support for Australians living with a rare disease →

Speak to a Genetic Health Navigator

Genetic Alliance Australia’s Genetic Health Navigator service provides free, community-based information and supportive navigation for people affected by genetic, rare and undiagnosed conditions.

We can help you:

  • organise questions after testing
  • identify common service and follow-up pathways
  • find reliable information
  • connect with condition organisations, peer support and practical or emotional support
  • prepare for another appointment

Genetic Health Navigators do not diagnose, provide medical advice, arrange testing or interpret individual clinical results.

Speak to a Genetic Health Navigator →