Direct-to-consumer genetic testing: where and how does genetic counseling fit?

Anna Middleton, Álvaro Mendes, Caroline M Benjamin, Heidi Carmen Howard
2017 Personalized Medicine  
Direct-to-consumer genetic testing for disease ranges from well-validated diagnostic and predictive tests to 'research' results conferring increased risks. While being targeted at public curious about their health, they are also marketed for use in reproductive decision-making or management of disease. By virtue of being 'direct-to-consumer' much of this testing bypasses traditional healthcare systems. We argue that direct-toconsumer genetic testing companies should make genetic counseling
more » ... tic counseling available, preas well as post-test. While we do not advocate that mandatory genetic counseling should gate-keep access to direct-to-consumer genetic testing, if the testing process has the potential to cause psychological distress, then companies have a responsibility to provide support and should not rely on traditional healthcare systems to pick up the pieces.
doi:10.2217/pme-2017-0001 pmid:29767582 fatcat:g7czs5nh4fekroxloip32hg24q