They don’t mean to but inevitably, people will say the wrong thing. Whether about you having a medical problem or experiencing a loss, they just don’t know what to say and the wrong words tumble out of their mouths.

I recently conducted a survivor course at a national cancer conference and the group kept coming back to this phenomenon. Women from all over the country, from every economic and cultural sector had the very same experience: friends and family inevitably stumble onto the same misguided list of What Not To Say To A Cancer Survivor.

Here are a few of their favorites, in case you’re wondering if you’ve made that same faux pas. (And these are real)
-What a great way to lose weight.
-At least you don’t need to spend so much time on your hair.
-Nausea is just like morning sickness - no big deal.
-I know what you’re going through.
-Great! Now you can get a free boob-job. Or tummy tuck.
-You’re only given that which you can handle.
-My friend had that and she died.

So after giving everyone a chance to vent, I try to put this into perspective. People WANT to say the right thing but don’t know what it is. So they blurt out something that sounded comforting a moment ago when they formed the thought. They try to find the bright spot in the rubble of a friend’s crisis.

If we keep in mind that the person’s intention is to be supportive – not hurtful – the words will lose their sting.

The California Women’s Conference featured a roundtable between Elizabeth Edwards, Susan St. James, Lisa Niemi, and Maria Shriver talking about grief. Each had lost a loved one in a very public way: Elizabeth and Susan each lost sons, Lisa lost husband Patrick Swayze, and Maria lost her mother and Uncle Teddy. Each had the same experience: people didn’t know what to say and it just comes out wrong.

But the lesson was this: Know what’s in the person’s heart and remember that you were once the person saying the wrong thing.

What’s the right thing to say in situations like this? I suggest that you open yourself to the person in pain. Let down the façade and reach into your own soul. Then speak from that place, authentically and personally.

“I’m so sorry that you are going through this. I care about you and want to help in any way I can.”

The dialog gets really real after that.