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Genetic counselors assist individuals to understand and adapt to difficult medical information, which often has implications for close family members. In the cardiac setting, managing families with profound grief and trauma following sudden cardiac death can be difficult, with potential for burnout and compassion fatigue. The aim of this study was to explore the impact of cardiovascular genetic counseling practice on genetic counselor well\u2010being and describe self\u2010care practices. Participants were recruited through the Australasian Society of Genetic Counselors. Semi\u2010structured interviews explored challenges in cardiovascular genetic counseling practice, supervision, and self\u2010care. Interview transcripts were analyzed using reflexive thematic analysis. Self\u2010reported demographics, psychological well\u2010being, and burnout measures were used. Eighteen genetic counselors participated. Median interview length was 54\u2009min (range 40\u201374). All participants were female and 83% of European ethnicity. Few reported mild or moderate depression symptoms (17%), mild or moderate anxiety symptoms (22%), and none (0%) had scores indicating stress. Three (17%) had scores indicating burnout. Reflexive thematic analysis generated three themes: (1) cardiovascular genetic counseling is different, not harder or easier; (2) workplace pressures affect well\u2010being; (3) a self\u2010care \u201ctool kit\u201d is necessary and supervision is a key component. Genetic counseling practice and workload can affect well\u2010being. A genetic counselor self\u2010care \u2018tool kit\u2019 that includes supervision helps maintain well\u2010being.<\/jats:p>","DOI":"10.1002\/jgc4.70113","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T12:39:55Z","timestamp":1757939995000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Well\u2010being and self\u2010care strategies for cardiovascular genetic counselors: A qualitative study"],"prefix":"10.1002","volume":"34","author":[{"given":"Laura","family":"Yeates","sequence":"first","affiliation":[{"name":"Genomics and Inherited Disease Program Garvan Institute of Medical Research and UNSW  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Cardiology Royal Prince Alfred Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas A.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Clinical Translation and Engagement Platform Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine and Health, St Vincent's Healthcare Clinical Campus UNSW  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Macciocca","sequence":"additional","affiliation":[{"name":"Victorian Clinical Genetics Service  Parkville Victoria Australia"},{"name":"University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Mountain","sequence":"additional","affiliation":[{"name":"Genetics Services of Western Australia  Perth Western Australia Australia"},{"name":"Graduate School of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary\u2010Anne","family":"Young","sequence":"additional","affiliation":[{"name":"Genomics and Inherited Disease Program Garvan Institute of Medical Research and UNSW  Sydney New South Wales Australia"},{"name":"Clinical Translation and Engagement Platform Garvan Institute of Medical Research  Darlinghurst New South Wales Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine and Health, St Vincent's Healthcare Clinical Campus UNSW  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Caleshu","sequence":"additional","affiliation":[{"name":"Genome Medical  South San Francisco, California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"McEwen","sequence":"additional","affiliation":[{"name":"Graduate School of Health University of Technology Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie","family":"Ingles","sequence":"additional","affiliation":[{"name":"Genomics and Inherited Disease Program Garvan Institute of Medical Research and UNSW  Sydney New South Wales Australia"},{"name":"Department of Cardiology Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"School of Clinical Medicine, Faculty of Medicine and Health UNSW  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010023\u201013888\u20104"},{"key":"e_1_2_12_3_1","unstructured":"Australian Bureau of Statistics. 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