Beijing for n Women at high risk are invited for further counselling and formal genetic testing involving taking blood and looking for the BRCA gene mutation. They are offered annual mammography to detect breast lumps that may be tumours, or preventive mastectomy. n Women in the moderate risk level are offered annual mammography. n Women in the population risk group are discharged from the service. Knowledge of being at moderate or high risk has significant impact for the individual ? and their children, who may also be at genetic risk. With these profound implications, one may expect participation in the testing process to be stressful. However, most people seem to cope with no great anxieties, although about a quarter of those assessed report high levels of distress during their risk assessment Brain et al Of particular concern is that this may not be a short-term phenomenon. Beijing 2016.