Trigger warning: today’s case reflection episode may be distressing to some listeners as the case involves issues of domestic violence, rape and incest. Please consider this before deciding whether or not to listen. Welcome to the final episode of Season 3 of GC Chat: a genetic counselling podcast.  In this episode, we discuss the counselling issues and interventions raised in episode 3: A heavy burden. References mentioned in our discussion: Chen, L.P., Beck, A.E., Tsuchiya, K.D., Chow, P.M., Mirzaa, G.M., Wiester, R.T., Feldman, K.W. (2015), Institutional Protocol to Manage Consanguinity Detected by Genetic Testing in Pregnancy in a Minor, Pediatrics Mar, 135 (3) e736-e739; DOI: 10.1542/peds.2014-2593  McGuire, A. L., Wang, M. J., & Probst, F. J. (2012). Currents in contemporary bioethics. Identifying consanguinity through routine genomic analysis: reporting requirements. The Journal of Law, Medicine & Ethics, 40(4), 1040–1046. https://doi.org/10.1111/j.1748-720X.2012.00731.xdoi:10.1111/j.1748-720X.2012.00731.x  Patch, C., & Middleton, A. (2018). Genetic counselling in the era of genomic medicine. British Medical Bulletin, 126(1), 27–36. https://doi.org/10.1093/bmb/ldy008 on behalf of the Association of Genetic Nurses and Counsellors (AGNC), Middleton, A., Marks, P., Bruce, A., Protheroe-Davies, L. K., King, C., Claber, O., Houghton, C., Giffney, C., Macleod, R., Dolling, C., Kenwrick, S., Scotcher, D., Hall, G., Patch, C., & Boyes, L. (2017). The role of genetic counsellors in genomic healthcare in the United Kingdom: A statement by the Association of Genetic Nurses and Counsellors. European Journal of Human Genetics, 25(6), 659–661. https://doi.org/10.1038/ejhg.2017.28  Additional support options: https://www.1800respect.org.au/ https://www.rainn.org/national-resources-sexual-assault-survivors-and-their-loved-ones https://lifecentre.uk.com/ You can find our usual suggestions for support, our privacy statement and disclaimer, and more information about topics referenced in our discussion on our website.  http://www.gcchatpodcast.libsyn.com #GCchatpodcast Sound engineer: Shaun Allen