Counselling and cancer
Counselling can help with:
coping with your reactions to cancer
family and relationship issues
exploring personal issues
dealing with practical issues
There are many reactions to cancer you might have including:
fear or anger
strong reactions to changes to your body
anxiety about treatment
You may feel very angry, or find it difficult to cope with a feeling of loss of control. You might also feel very stressed about having to cope with the side effects of treatment, such as fatigue, pain or sickness.
Cancer can stir up many deeply personal issues such as consideration of your:
spirituality
sexuality
relationships
Cancer can also affect your family relationships. You might find it affects how you talk to your children or your intimacy with your partner.
It might also lead to role changes within the family if you can no longer fulfil the role you used to, even temporarily.
You might need to have difficult conversations about:
financial support
mortgages
pensions
making a will
There may be practical issue such as transport problems or difficulty talking to your doctors. All these can cause family tensions or extra stress for you.
You may want to deal with things in ways that your friends or family don't agree with.
It might help to talk through any of these issues and feelings with someone outside your friends and family. Your friends and family may be too close to the issues to see them clearly and objectively.
A counsellor can help you find different coping methods that hadn't occurred to you before. And because counselling is confidential, you can be honest about what is bothering you.
There is no evidence to suggest that having counselling will help treat or cure your cancer. Nor is there any convincing evidence that it will help prolong your life.
But there is a lot of evidence that counselling can help you to cope better with the many difficulties. This includes during and after your cancer diagnosis and treatment. It can help reduce the stress you face and improve your quality of life.
Many doctors and nurses may provide their patients with emotional and psychological support. But, others don’t feel comfortable doing this.
Some healthcare staff may not feel able to give support, or they may not have the time.
Their main focus is on treating and curing your cancer. Of course, if you have cancer, this is very important. But many people are also worried about how they can cope with their illness and how it will disrupt their everyday life.
Because of this, some cancer units now have a counsellor or psychotherapist as part of their team.
We know from research that counselling can help some people overcome the depression and anxiety that cancer can cause.
There’s also evidence that certain methods of counselling with phobias about having cancer treatments. These phobias include:
fear of having injections
being confined to a small space during an MRI scan
Last reviewed: 04 Nov 2022
Next review due: 04 Nov 2025
Counselling usually works better if you seek it out yourself. You may not get the best out of it if you don’t really want to be there.
Counselling can help you come to terms with your cancer. Understanding what it is and how it can help, can help you decide if it is right for you.
After a diagnosis of cancer, you might have a range of feelings including fear, sadness, anxiety and depression. These are normal responses to a stressful life experience.
There are things you can do to help yourself manage your feelings and emotions.
Whether you are someone with cancer or a carer for someone with cancer, we want you to know that it is common to struggle with your mental health when dealing with a cancer diagnosis. But there are people who can support you during this time and things you can do to help yourself.

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