Marie Wallace has completed her Bachelor’s degree from Smith College and Master’s from The University of Texas at Austin, USA. She manages her own psychotherapy practice where she sees Type 1 diabetic children, adolescents and their families. She also serves as a Specialist on the Transition Team Board for ‘Especially for Children Endocrinology’, helping teenagers’ transition out of pediatric care. She is a type 1 diabetic herself and strives to provide the diabetes community with support and empathy through her work.


“You have Type 1 Diabetes” is not just a life-altering medical diagnosis given (typically) to a young child. That phrase changes a person’s reality, sense of self and vision for the future. Its implications permeate the entire family, social group and social network of the patient. A parent now encounters endless restless nights filled with worry and fear of a low blood sugar. A friend now carries extra glucose tabs and juice in her back pack. A teacher needs to learn the signs of hypo and hyperglycemia. A summer camp has to reject a potential camper because it is not prepared to deal with possible medical issues. A significant other has to learn how to administer glucagon. Each one of these changes heavily impacts the child with Diabetes. The psychological effects of Type 1 diabetes are far-reaching enough to critically alter socio-emotional well-being. Psychotherapy is a crucial component of the diabetes care team, not only for the child with diabetes, but also for the family. The period of adjustment is a difficult and stressful one and can produce long-lasting negative results if not worked through fully and thoughtfully. This talk will discuss the importance of psychotherapy for people with diabetes and their families as well as examine some of the big psychological hurdles and challenges typically caused by type 1 diabetes. I will conclude the talk with observations and deductions from my own case studies to highlight therapy’s role in the management of this disease.