While breast cancer has a lot of physical effects on the human body -- loss of hair, fatigue, loss of breast tissue, etc, there are a lot of psychological effects on both the patient and their loved ones.
A diagnosis of breast cancer can be mentally overwhelming. Many thoughts and feelings may cross someone’s mind that knows they have breast cancer, and a diagnosis can cause changes in personal relationships, feelings about one’s body, and worries about life in general. It is therefore important to be mentally equipped to deal with a diagnosis of breast cancer.
A diagnosis of breast cancer can lead to all kinds of emotional turmoil, with feelings of disbelief, shock, despair, helplessness, anger, resentment, and denial.
Lifestyle-related worries are common; people diagnosed with the disease can start to worry about money and their job, as well as becoming more anxious about their future.
Family and friends may also suffer from a range of feelings.
Help is at hand, however, and solutions can be found to help deal with the barrage of emotions that everyone involved may feel.
It is normal for people who are diagnosed with breast cancer to feel anxious and depressed at some point. Although not every person with breast cancer is affected, up to 50% of women will have significant anxiety, depression, or both in the year after they receive a diagnosis of breast cancer. Family and friends may also suffer from anxiety and depression.
Anxiety and worry can be intense, and can manifest as panic attacks, which can be best described as brief but overwhelming episodes of fear. Symptoms of anxiety and fear can be both emotional and physical, and may include:
restlessness, feeling shaky, or not able to relax;
feeling out of control or feeling like you are “going crazy”;
trouble concentrating;
problems sleeping (insomnia);
muscle tension and headaches;
feeling tired more than usual;
shortness of breath, racing heart, or even chest pains;
sweating;
stomach problems such as upset stomach or diarrhea.
These feelings may be present all the time, or they may come and go. It is important to note that some of these symptoms may indicate other conditions or be caused by breast cancer or the treatments used, so be sure to speak to your doctor about them.
Depression is also common among breast cancer patients, and has both emotional and physical symptoms. Some symptoms of depression are:
ongoing feelings of hopelessness, sadness, or despair;
feeling guilty or ashamed;
crying for no reason;
poor concentration;
loss of interest in daily activities;
fatigue and lack of motivation to do anything;
changes in eating and sleeping habits;
weight loss or gain;
aches and pains.
Depression is not a sign of personal failure or lack of willpower. Many people suffer from depression at some point in their lives. In addition, sometimes the cancer itself or the cancer treatments can cause physical changes in your body that may feel similar to depression. So again be sure to speak to your doctor about any symptoms that you may be experiencing.
Thankfully, both anxiety and depression are treatable conditions, and over time, the symptoms of anxiety and depression among breast cancer patients tends to lessen as patients adjust to living with cancer.
While this is may be very challenging time for you, it is also a difficult time for your partner and other family members. They may react with the same feelings you are experiencing. This may be hard to accept, because you need their support and feel like you don’t have much to give in return. Although there are no easy answers, it can be helpful for family members to share their feelings with each other.
Family members may not be sure how they can help you, so it is up to you to tell them how they can assist. For example, you could assign each member a specific task, such as doing the cooking, taking care of the bills, or making sure children get to school on time. In addition, think of how family members can provide emotional support and enlist their help.
Breast cancer also affects family and friends
About a third of women with breast cancer have school age children living with them at home. [1] If you have children, you may feel like you want to avoid telling them that you have breast cancer, but most experts agree it’s best to tell children. Even young children can sense when something is upsetting a parent. Younger children may even think they have caused their parent’s distress.
Of course, what you say to them depends on their age and ability to comprehend the situation. If you aren’t sure how to discuss this with them, talk to a counselor, nurse, or your doctor about how to explain your diagnosis to your children – you can contact some of the resources listed at the end of this article, in the “Additional Information” section. In all cases, it’s important to be honest with your children, but also to remain calm, reassuring, and hopeful.
When children learn of your diagnosis, they may feel the same emotions as adult family members. Some children may talk about their feelings, while others won’t want to. In time, they may be more willing to discuss their feelings.
Children may also behave in depressed or anxious ways. For example, they may have trouble in school, not be able to sleep, or get angry easily. If you think your child is having trouble coping, seek help from a counselor or therapist. Children also can benefit from attending support group meetings (see “Additional Information” section)
The good news is there are many resources available to help you and your loved ones cope successfully with the emotional impact of breast cancer.
Tell your doctor, nurse, or social worker about any emotional difficulties you or your family are having. He or she can put you in touch with counselors or other cancer resources that can help you. In addition, your doctor may also prescribe short-term medication that can help with the symptoms of anxiety and depression.
Join a cancer support group. There are many cancer support groups where patients with cancer can offer each other assistance and companionship, and help each other deal with the emotional and practical aspects of living with cancer. There are support groups available specifically for family members and friends of cancer survivors. Support groups may be online only or larger groups of people who arrange local meetings.
Seek counseling. Certain types of counseling, such as cognitive therapy and behavioral interventions are particularly useful in the treatment anxiety and depression. A counselor can also teach you self-help tools to help you manage overwhelming feelings, such as relaxation techniques, guided imagery, or biofeedback, for example.
Contact a cancer organization. A number of organizations exist to help people with breast cancer. They can offer advice and support for you and your loved ones. Their websites are listed in the “Additional Information” section below. Many of these provide helpful information on breast cancer and how to find a cancer support group.