Mental health is often ignored in our discussions related to cancer but addressing this aspect plays an important role....
mental health
Mental health is often ignored in our discussions related to cancer but addressing this aspect plays an important role in getting women going to doctors earlier for diagnosis and for them to complete prescribed treatment.
Diagnosis of cancer stirs up a whole chain of emotions ranging from shock, anger, disbelief, guilt and sadness. Grief is a natural response to any kind of loss, loss of a loved one, loss of job, loss of money, or health issue like cancer. For patients suffering from breast cancer, it is not only loss of health but also loss of same body that they always had due to mastectomy and side effects of treatment. Help with grieving can lead to early acceptance.
A breast cancer diagnosis often brings a whirlwind of emotions, predominantly denial. Many patients grapple with the overwhelming nature of the diagnosis, leading to psychological barriers that can hinder the decision to seek treatment. Fear of the unknown - what treatment will entail, potential side effects, and the impact on one’s life - can create a mental block. This denial can be a protective mechanism, providing temporary relief from the stark reality of the situation; but needs to be worked through as soon as possible.
Following treatments such as chemotherapy or mastectomy, many women face significant changes in body image. Loss of hair, scars, and alterations in breast shape can lead to feelings of loss and insecurity. This transformation can profoundly affect self-esteem and sexual identity, intensifying feelings of anger and worries about future. Patients might find themselves in a cycle of grief - not just for their health but also for their pre-cancer selves.
To navigate these turbulent emotions, healthy coping mechanisms are essential:
Expressive writing: Journaling can help patients articulate their fears and frustrations, providing an emotional outlet.
Seeing a therapist: It is important to have an outlet to vent your emotions. Seeking professional help can help in coping with depression.
Mindfulness and meditation: Practicing mindfulness can ground patients, reducing anxiety and promoting a sense of calm.
Physical activity: Engaging in gentle exercises, like yoga or walking, can improve mood and body image, releasing endorphins that help combat negative feelings.
Support groups: Connecting with others who share similar experiences can foster a sense of community, alleviating feelings of isolation.
Art therapy: Creative expression through art can provide an avenue for processing emotions and reshaping one’s identity.
Family and friends play a crucial role in a patient’s journey. Their support can make a significant difference in coping with the diagnosis and treatment:
Listening and validation: Offering a non-judgmental space for patients to express their feelings can help them feel understood and less alone.
Accompanying to appointments: Having someone present during medical visits can alleviate anxiety and provide emotional support.
Encouraging self-care: Loved ones can gently encourage patients to engage in activities that promote well-being, reminding them of their strengths and resilience.
Helping with practical tasks: Offering to help with daily chores, meals, or childcare can alleviate stress, allowing patients to focus on their health.
Survivor’s guilt is another complex emotion that can arise, particularly when patients witness others struggling with their diagnosis. This feeling may lead to questioning one’s worthiness of survival or a sense of obligation to help others who are still fighting. It’s important for survivors to acknowledge these feelings and understand that it’s natural to feel conflicted. Seeking therapy or joining support groups can help survivors process these emotions in a healthy way.
The journey through breast cancer is undoubtedly challenging, marked by a range of emotional responses. However, with healthy coping strategies and strong support systems, patients can navigate this difficult landscape. Addressing survivor’s guilt and fostering open conversations within families and support networks can further empower individuals to embrace their journey, cultivate resilience, and find a renewed sense of identity post-treatment.
The author is a consultant psychiatrist at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore, Pakistan.
