
'Life throws you obstacles': Kate Middleton's younger brother James breaks silence on sister's heartbreaking cancer journey
preventative chemotherapy
.
In a heartfelt interview, James Middleton, an entrepreneur, author, and younger brother to the Princess of Wales opened up about the emotional toll of Kate Middleton's cancer diagnosis and how their close-knit family rallied together during one of their darkest chapters.
James, 38, who spoke about mental health and his new book - Meet Ella: The Dog Who Saved My Life, during the intimate interview also offered a glimpse into his sister's recent health crisis.
In March 2024, Princess Kate, now 43, announced her cancer diagnosis, revealing she had started preventative chemotherapy. After months of intensive treatment, she shared in January 2025 that she was in remission.
Looking back at the challenging time, James revealed how the family had to quietly anchor themselves through uncertainty, learning to offer support not with grand gestures, but with patience, empathy, and unwavering presence.
'What I think is that, as a family, you learn to see and process and understand things. For her and her family, it was a challenging time, and I know for us and our bigger family, it was a challenging time, but I think it's about communication and it's about offering support and help where you can," he said.
"Being there for someone is such an important part, and it doesn't necessarily have to be on your terms, and it shouldn't be on your terms.
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It should be on their terms; unconditional: 'I'm not doing it for something in return. I'm doing it because I love you,' he continued.
"And that's the simplest way of really demonstrating love. You can do it in all these various fancy ways, but actually, you know, it is just generally being there,' the author said.
In 2017, James was diagnosed with mental health issues. He turned to
cognitive behavioral therapy
, medication, and the healing companionship of his dog Ella, who inspired his book.
Throughout his recovery, his family, especially sisters Kate and Pippa, stood beside him.
'Having them there meant that I knew I was surrounded by people that truly understood what I was going through,' he said, recalling how Kate and Pippa even attended some of his early therapy sessions.
In September, Middleton while promoting his book in the US had opened up about supporting his sister, Princess Kate, through her cancer battle.
'There are huge numbers of people who go through [cancer]. It doesn't matter who you are, what your upbringing is. Life throws you obstacles."
'We are a close family. It is always important to have support around you and not do things alone. Sharing it does help bring people together. My love and support for my family is more than just an Instagram post,' referencing his March social media post about the diagnosis," he added.
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