

From Fear to Fun: More than one child at the consultation
From Fear to Fun - Efficient consultation - Empower patients by Astrid M. Koenig
S1 · E77
Apr 29, 2026
05:16
Episode notes
This episode explores how to manage consultations when a sibling is present — a situation that can quickly become chaotic if not handled intentionally. At the heart of it lies one simple truth: everybody craves attention, including the child who is not the patient.
We cover:
- Why siblings often become disruptive when they feel unseen
- A powerful dolphin‑training analogy that shows why non‑interference also deserves recognition
- How the patient naturally receives all attention — and why this creates tension
- Why siblings need acknowledgement, a role, and a place in the room
- How to prevent disruption by giving the sibling a clear task (“I need you to play there”)
- The importance of having small toys ready to offer at strategic moments
- What happens when the sibling is ignored — and why even negative attention is better than none
Key takeaway:
When a second child is present, they must be seen, acknowledged, and given a place in the consultation. Their quiet cooperation is an achievement — and recognising it keeps the encounter calm, connected, and moving from fear to fun.
Keywords
communication
Doctor
child
rapport