Tag Archives: Addressing the Psychological Stress and Cancer Problems

How can I help myself cope with cancer

How can I help myself cope with cancer: The Attitude and Beliefs?

How can I help myself cope with cancer

How can I help myself cope with cancer? By practicing moderate exercise and seeking for professional opinion

People value the care they get from their cancer care team, but many also want to take an active role in dealing with their illness. Dr. Dalal Akoury the MD and founder of AWAREmed Health and Wellness Resource Center has been in the medical practice for well over two decades and she is going to help us in putting this question “how can I help myself cope with cancer?” into perspective. She says that for a better understanding of these concerns, it is important to segment the useful ideas on coping with cancer in to two categories. The divisions is based on attitudes and beliefs that clearly are beneficial (and she calls them the Do’s) and those that are harmful (which she referred to as the Don’ts). The following are some of the doable.

How can I help myself cope with cancer: The Doable Attitudes?

Only go for those coping ways that have been helpful for you in the past in solving problems – It is important to note that everyone will only want to associate with those people who will add value to their lives. Therefor be selective and only go for those whom you will feel comfortable sharing and talking with about your illness freely. In the event that you can’t talk to anyone, you could opt for meditation, relaxation or listening to music as alternatives of calming you down. Do what it takes and only apply what has worked for you before and in the unlikely event that nothing works and coping is becoming difficult, then at this point getting professional help becomes necessary.

Deal with cancer “one day at a time – For effective dealing with cancer, it is very important that you keep distance from elements of worries. The business of coping with cancer will be less tasking when broken into smaller units which are manageable. By doing this, you will be able to handle your daily objectives.

Register for support and self-help groups – Only associate with value additions groups and leave any group that makes you feel worse.

Find a doctor who lets you ask all your questions – In the journey of answering this question “how can I help myself cope with cancer?” it will be very important that you in all your association there must be the feelings of mutual respect and trust. Always insist on being a partner in your treatment. Doing this will enable you to be informed of the problems you are likely to face before they come, and addressing them will become even easier.

Explore spiritual and religious beliefs and practices, such as prayer, that may have helped you in the past – If you don’t consider yourself a religious or spiritual person, get support from any belief systems that you value. This may comfort you and even help you find meaning in the experience of your illness.

Keep a personal notebook of your doctors’ numbers, dates of treatments, lab values, x-rays, scans, symptoms, side effects, medicines, and general medical status – Information about the cancer and your treatment is important to have, and no one can keep it better than you.

Keep a journal if you find a need to express yourself without holding back – It can help you process the journey, and you may be amazed by how helpful it can be.

How can I help myself cope with cancer: The Don’ts Elements?

  • Believe the old saying that “cancer equals death – remember that many cancer survivors are healthy today thereby disqualifying this statement.
  • Blame yourself for causing your cancer – There is no scientific proof linking certain personalities, emotional states, or painful life events to getting cancer. Even if you may have raised your cancer risk through smoking or some other habit, it does not help to blame yourself or beat yourself up.
  • Feel guilty if you can’t keep a positive attitude all the time, especially when you don’t feel well – The saying “you have to be positive to beat cancer” is not true. Low periods will come, no matter how great you are at coping. There is no proof that those times have a bad effect on your health or tumor growth. But if they become frequent or severe, getting professional help would be ideal.
  • Suffer in silence – Make cancer a communal problem and refuse to struggle with it alone. Get support from your family, loved ones, friends, doctor, clergy, or those you meet in support groups who understand what you are going through. With these supports, you are certainly going to cope better.
  • Be embarrassed or ashamed to get help from a mental health expert – If it becomes necessary to seek for the services of a mental specialist for conditions like anxiety or depression that disrupts your sleep, eating, ability to concentrate, ability to function normally, or if you feel your distress is getting out of control, don’t feel embarrassed and proceed boldly.
  • Abandon your regular treatment for an alternative therapy – If you use a treatment that your doctor didn’t recommend, use only those that you know do no harm. Find out if the treatment can be safely used along with your regular therapies to improve your quality of life. Psychological, social, and spiritual approaches are helpful and safe, and medical professional across the board are encouraging the use of such treatment modes. As we had mentioned things like relaxation and meditation are good ways to deal with distress.

How can I help myself cope with cancer: Other coping methods: Exercise

Doctor Akoury says that exercise is not only safe for most people during cancer treatment, but it can also help you feel better. Moderate exercise has been shown to help with tiredness, anxiety, muscle strength, and heart and blood vessel fitness. And in fact most people with cancer can do some form of exercise. Like for instance, walking is a good way to get started and a good way to keep moving when you are feeling stressed. Remember that with cancer involve not all cancer patients can be engaged in all types of exercises. Get the opinion of your doctor about your exercise plans before you start. Keep in mind that even though exercise may help lower distress levels in some people, exercise alone is usually not enough to help people with moderate to severe distress. Therefore, for comprehensive health information about our discussion topic “how can I help myself cope with cancer?” schedule for an appointment with doctor Dalal Akoury today and your healthy will never be the same again.

How can I help myself cope with cancer: The Attitude and Beliefs?

 

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Identifying Distress in People with Cancer

Identifying Distress in People with Cancer: What is distress?

Identifying Distress in People with Cancer

Identifying Distress in People with Cancer. Distress suffering is not just physical but also emotional and psychological

If you have been in company of any cancer patient you need not to be told o the suffering those cancer patients go through. The suffering is not just physical but also emotional and psychological. These put together brings a lot of distress to patients and if not addressed, treatment becomes very difficult. It is because of this reasons that we want to focus our discussion towards identifying distress in people with cancer. To do this we are going to be speaking to experts at AWAREmed Health and Wellness Resource Center under the able leadership of Doctor Akoury’s care. Distress is a word with many connotations. However for our discussion we are going to use “distress” to describe unpleasant feelings or emotions that may cause problems for you as you cope with cancer disease and its treatment. It is also important to note that distress is also common with the family members and loved ones of people with cancer. Doctor Akoury says that distress is a big hindrance in cancer treatment and can make it harder to deal with all the changes that come with a cancer diagnosis. When we talk about being distressed in normal circumstances it would mean that you are feeling:

  • Unhappy or sad
  • Hopeless
  • Powerless or helpless
  • Afraid and fearful
  • Guilty
  • Anxious
  • Panic
  • Discouraged
  • Depressed
  • Uncertain

The impact of stress can be very complicated when dealing with cancer since it may affect areas of your life other than your feelings. It can affect your thoughts, your behavior, and how you interact with others says doctor Akoury.

Identifying Distress in People with Cancer: How to know when your distress level is normal or more serious?

Being stressed or distressful can be normal in our daily lives. Actually we all at one time have been stressed while handling our daily activities. The same applies with certain amount of distress when you or a loved one has cancer. These kinds of distress are caused, in part, because of the attitudes and fears people have about cancer. Like for instance, one of the greatest fears people have is that cancer means death or will ultimately lead to death. Nonetheless this idea of cancer leading to death is not true and unfounded. The truth is that today we have millions of people who have had cancer but have survived through the available treatment available in various health facilities.

Of course, people are upset when they learn they have cancer no matter how much progress has been made in treating it. There are many things that suddenly seem uncertain further explaining why identifying distress in people with cancer is very important. The challenges that people have include the worries about changes that will happen to their bodies when attacked by cancer. How their loved ones will cope with this situation and all other things that are likely to happen. The fear of a bleak future dons on them and people often wonder in silence or aloud that “Am I going to die?” and worries as to “why is this happening to me?”

And because cancer is hereditary, once you learn that you or a loved one has cancer, you may no longer feel safe. You may feel afraid, exposed, weak, and vulnerable. Such feelings often last through treatment, and you may feel anxiety and sadness, too. Doctor Akoury says that it’s normal to worry, especially at certain times, such as at the commencement of treatment. A recovering cancer patient acknowledges that, the worst time for him was waiting for that first chemo treatment. “Once it was over, and it wasn’t as bad as I thought it would be, I was OK. I actually felt better because I was finally doing something about the cancer” says the patient.

Identifying Distress in People with Cancer: Cancer Surgery

Waiting for surgery is another time of major concern. People often worry about the operation itself, but also about whether the cancer is growing while they wait. Fears about the changes that surgery will cause can be a major source of distress, too. Then there are concerns about work and home life and how they may change. Insurance and financial issues often add to the worries. For some people, one of the hardest times is after cancer treatment. Rather than feeling happy that treatment is over, they feel even greater distress. One patient put it this way: “I’m on my own now and I’m just waiting to see what will happen next.” From that statement you notice that this patient is very distress even though treatment has been concluded.

Seeing the oncologist (cancer doctor) after treatment can feel quite scary. Nearly everyone has some fear the cancer will come back (recur). This is normal, too. “Every time I have aches and pains, I’m convinced it’s the cancer coming back even if it’s a pain in my big toe,” one patient said.

Identifying Distress in People with Cancer: Everything about cancer is Stressful

Dealing with the side effects of treatment such as tiredness (fatigue), hair loss, weight changes, and how disrupted your life seems is also stressful. In fact, everything about having cancer is stressful. Being upset and worried are part of it, so a certain amount of distress is expected when you find you have cancer. But sometimes distress can go from the expected level to one that interferes with your treatment, makes it hard for you to cope with the illness, and affects all parts of your life.

It’s not a sign of weakness that you become so distressed that it interferes with your ability to do your usual activities. When you visit us at AWAREmed Health and Wellness Resource Center, our team of experts will explain for you the range of distress from what is considered normal to very high and offer some ideas about how to handle your feelings in ways that will be helpful. The very first thing you need to do in coping with distress is consulting with your doctors and cancer support team. Talking to them about how you feel will make you feel much safer. Their purpose is to help you get better and if they notice something that needs to be addressed, then they will direct you to the help you need. Remember that these people are only here to help you not just for the cancer treatment, but they are also counting on you to tell them how you are doing and what you are feeling. This is one assignment that you are the only one that can do and no one else.

Finally when addressing distress of cancer patients, the scope is not just limited to them but it is also applies to their loved ones. These people are a strong source of support, and their well-being is important, too in the delivery of successful treatment. Therefore if you are a loved one and feel distressed, it’s OK to let the cancer care team knows that you need help. You can also schedule for an appointment with doctor Dalal Akoury for much more professional assistance.

Identifying Distress in People with Cancer: What is distress?

 

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Handling Anxiety and Fear by Cancer Patients

Handling Anxiety and Fear by Cancer Patients: Panic attacks and cancer

Handling Anxiety and Fear by Cancer Patients

Handling Anxiety and Fear by Cancer Patients will go along way in offering lasting solutions to cancer treatment

Every time we are faced with any life threatening situation, we become depressed, fearful and our anxiety level goes up. This is common with people because it is inbuilt. The problem often becomes more complicated when we fail to be calm and panic in the process. Like for instance, the news about cancer infection can be very lethal on the part of the patient especially when they were not prepared of the possibilities of being cancerous. The luck of preparedness is the major cause of the greatest portion of fear and anxiety. Besides this, the fear of treatment, frequent visit to the doctor’s clinic and tests might also cause apprehension. Because of the impact attributed to these feelings, we want to discuss the best ways of handling anxiety and fear by cancer patients in the present generation.

According the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury’s care, it’s normal to feel afraid and scared when you’re sick. Like for instance people may be afraid of hysterical pain, dying, or the aftermath of death, including what might happen to loved ones. These same feelings may be experienced by family members and friends as well. It is therefore very important that we are aware of what signs that will indicate the presence of such fears and anxieties. The following are some of the signs and symptoms of fear and anxiety

  • Portraying anxious facial expression
  • Hysterical worry
  • Difficulties in solving problems and focusing thoughts
  • Muscle tension
  • Quivering or trembling
  • Restlessness, may feel keyed up or on edge
  • Dehydrated mouth
  • Irritability or angry outbursts

Doctor Akoury recommends that when an individual is showing majority of these signs daily, and they are causing interference with their lives, then at this point a mental health evaluation could be helpful. Under these circumstances you can be very instrumental in advising the patients by observing the following.

Handling Anxiety and Fear by Cancer Patients: What to do

  • Polite encouragement to share the experience.
  • Share feelings and fears that you or the anxious person may be having.
  • Listen carefully to each other’s feelings. Offer support, but don’t deny or discount feelings.
  • Remember that it’s OK to feel sad and frustrated.
  • Get help through counseling and from support groups.
  • Use meditation, prayer, or other types of spiritual support if it helps.
  • Embrace deep breathing and relaxation exercises. Close your eyes, breathe deeply, focus on each body part and relax it, start with your toes and work up to your head. When relaxed try to think of a pleasant place such as a beach in the morning or a sunny field on a spring day.
  • Talk with a doctor about using anti-anxiety or anti-depressant medicines.

Handling Anxiety and Fear by Cancer Patients: Do not

  • Make effort to argue with a person whose fears and anxieties are severe instead consult with a doctor on the kind of medications to help.
  • Keep feelings inside.
  • Persuade one who is not willing to open up and talk to do so.
  • Blame yourself or another person for feeling fearful or anxious.

Handling Anxiety and Fear by Cancer Patients: Panic attacks

Panic attacks can be an alarming symptom of anxiety. Panic attacks happen very suddenly and often reach their worst in just about 10 minutes. The victim may seem fine between the attacks but is usually very afraid that they will happen again. The following are some of the symptoms of panic attack.

Handling Anxiety and Fear by Cancer Patients: Symptoms of a panic attack
  • Shortness of breath or a feeling of being smothered
  • Running heart
  • Feelings of dizziness, unstable, lightheaded, or faint
  • Chest pain or discomfort
  • Feeling as if they’re choking
  • Quivering or trembling
  • Sweating
  • Fear of losing control or “going crazy”
  • An urge to escape
  • Impassiveness or tingling sensations
  • Feeling “unreal” or “detached” from themselves
  • Chills (shaking or shivering) or hot flashes (may involve sweating or facial reddening)

If a person is having any of the first 5 symptoms or any five for that matter, it can mean an urgent or life-threatening condition. In this case the presence of a doctor would be required right away to attend to the patient if someone unexpectedly has any of these. It is also very important to note that these symptoms can be signs of other, more serious problems such as shock, heart attack, blood chemistry imbalance, collapsed lung, allergic reaction and many other chronic conditions. Therefore it’s not safe to make an assumption that they are panic-related until are diagnosed and confirmed by a doctor.

Handling Anxiety and Fear by Cancer Patients: What to do
  • Check with the doctor to be sure that the symptoms are caused by panic and not another medical problem.
  • Stay calm and speak softly during a panic attack.
  • Sit with the person during panic attacks until he or she is feeling better.
  • Call for help if needed.
  • After the panic attack is over, encourage the person to get treatment for the panic attacks.
  • Provide transportation to treatment if needed. The person may be afraid that a panic attack will happen while driving.
  • The ideas listed under “What to do” in the section “Anxiety and Fear” may also be helpful.

Handling Anxiety and Fear by Cancer Patients: Do not

  • Minimize or make light of the person’s terror or fear.
  • Judge the person for feeling scared and acting strangely.
  • Try to talk the person out of their fear or other feelings.
  • Hesitate to call the doctor if you have questions about what’s happening.

Finally for us to win the good health back, we must ensure that we change our attitude towards anxiety and fear more so when it comes to handling cancer patients. Everything we do will matter a lot in the healing process of the cancer patients. Therefore seeking for treatment in good time and from experience and qualified doctors will be the best you can do for yourself. Doctor Dalal Akoury is one of such professionals you can contact for any health conditions you have that is cancerous. Make the best decision today and schedule for an appointment with doctor Akoury for a life changing treatment that will give you your life back enjoying it to the fullest.

Handling Anxiety and Fear by Cancer Patients: Panic attacks and cancer

 

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How Cancer affects your emotional health

How Cancer affects your emotional health: Depression and cancer

How Cancer affects your emotional health

How Cancer affects your emotional health is one thing you can avoid by being physically active

It is never fun to be told that you are suffering from cancer. When such news is broken to the patients, devastation, pain and anguish sets in not just to the patient but even to the relatives and loved ones. For sure most patients, families, and caregivers expresses some degree of depression, anxiety, and fear when cancer becomes part of their lives. These feelings are normal responses to this life-changing experience. We want to settle into the discussion of how cancer affects your emotional health and what you can do to help. We will be guided by the help of doctor Dalal Akoury who is also the founder of AWAREmed Health and Wellness Resource Center where a lot of cancer preventive treatment are done. You can also be part of the many experiencing life transformation with the professionalism approach doctor Akoury is applying in the treatment of her clients.

Like I have just mention cancer is life threatening and people struggling with cancer will have the feelings expressed above which can be caused by many things, including changes in their families’ roles and even assignment at their work stations. A cancer patient is likely to feel the loss of control over life events, and bear the burden of dealing with changes in their body image. They might feel grief at the losses and changes in their lives that cancer brings. There may be fear of the eventualities like death, suffering, pain, or all the unknown elements that lie ahead. This may not be limited to the patients only but even the family members and caregivers may have these feelings too. It is possible that they will be afraid of losing their loved one. Anger of knowing that cancer is affecting their loved ones will be another concern especially with the knowledge that cancer is genetically inherited. This will in many ways cause both the patient and their loved ones frustration and stress that they are either not doing enough to help or that they have to do more at home.

In all these, it’s important to remember that people with cancer, as well as their friends and family, can feel distress about these things at any time after a cancer diagnosis, even many years after the cancer is treated. And as the cancer situation changes, they all must cope with new stressors along with the old, and their feelings often change, too. For instance, people dealing with cancer that’s spread and is making the person feel worse may have more emotional distress than those dealing with early-stage cancers.

People who have physical symptoms such as pain, nausea, or extreme tiredness (fatigue) also seem more likely to have emotional distress. Most of the time, physical symptoms can be controlled with medicines but it could take more than one try to find the right drug or combination of drugs. Doctor Akoury emphasizes that because of this, patient must keep consulting closely with their doctors and with their cancer team. This way they can help with these kinds of symptoms before you feel overwhelmed.

Take note that this link is tailored to equip you with health information that can help your families, friends, and caregivers to know what feelings and behaviors they might expect from their loved one who has been diagnosed with cancer. It is also to help you understand what isn’t normal and when more needs to be done like getting outside help. Besides, it can also help you recognize when you or others need outside help. Remember that everybody is vulnerable to cancer and all these things can happen to anyone including your caregivers, friends, and family members too. Anyone affected by cancer theirs or a loved one will need help in dealing with the emotions that result.

How Cancer affects your emotional health: Depression and cancer

It’s normal to grieve over the changes that cancer brings to a person’s life. The future, which may have seemed so sure before, now becomes uncertain. Some dreams and plans may be lost forever. But if a person has been sad for a long time or is having trouble carrying out day-to-day activities, that person may have clinical depression. In fact, up to 1 in 4 people with cancer have clinical depression. The effects of clinical depression is alluded to great distress, impairs functioning, and might even make the person with cancer less able to follow their cancer treatment plan. In all these, there is still hope and the good news is that clinical depression can be treated. Therefore if you know of anyone who has symptoms of clinical depression, you can be their link to the much help they need, encourage them to get help from the experts at AWAREmed Health and Wellness Resource Center. There are many ways to treat clinical depression including medicines, counseling, or a combination of both. With good and timely treatments, you can reduce your rate of suffering and improve the quality of your life.

How Cancer affects your emotional health: Symptoms of clinical depression

  • Loss of interest or pleasure in almost all activities most of the time
  • Being slowed down or restless and agitated almost every day, enough for others to notice
  • Frequent thoughts of death or suicide (not just fear of death), suicide plans or attempts
  • Continues sadness, hopeless, or “empty” mood for most of the day
  • Extreme tiredness (fatigue) or loss of energy
  • Trouble focusing thoughts, remembering, or making decisions
  • Feeling guilty, worthless, or helpless
  • Major weight loss (when not dieting) or weight gain
  • Trouble sleeping with early waking, sleeping too much, or not being able to sleep

Remember, some of these symptoms, such as weight changes, fatigue, or even forgetfulness can be caused by cancer and its treatment. However when five or more of these symptoms happen consistently daily for 2 weeks or more, or are severe enough to interfere with normal activities, it might be assign of depression. If this description fits your situation, then you need to be checked for clinical depression by a qualified health or mental health professional. If the person tries to hurt him- or herself, or has a plan to do so, get help right away.

How Cancer affects your emotional health: What to do

  • Promote physical activity, especially mild exercise such as daily walks.
  • Reassure the person that with time and treatment, he or she will start to feel better – and although changes to the treatment plan are sometimes needed, it’s important to be patient.
  • Help make appointments for mental health treatment, if needed.
  • Provide transportation for treatment, if needed.
  • Remember that it’s OK to feel sad and grieve over the losses that cancer has brought to their lives, and to yours.
  • Realize that being pessimistic and thinking everything is hopeless are symptoms of depression and should get better with treatment.
  • Engage the person in conversation and activities they enjoy.
  • Encourage the depressed person to continue treatment until symptoms improve, or to talk to the doctor about different treatment if there’s no improvement after 2 or 3 weeks.

If you suspect you may be depressed, schedule for an appointment with doctor Akoury today.

How Cancer affects your emotional health: Depression and cancer

 

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The Prevalence of Depression in Cancer Patients

The Prevalence of Depression in Cancer Patients: Depression and Cancer

The Prevalence of Depression in Cancer Patients

The Prevalence of Depression in Cancer Patients is the concern of everybody. Even the medics are victims of the two health conditions

The impact of depression in cancer patients has of late been receiving much attention. This is because of the health risks that are involved when the two conditions marry together in an individuals’ life. It is no wonder that depression is actually seen as the psychiatric syndrome that has received the most attention in persons struggling with cancer. Nonetheless the study of depression has equally had a host of challenges due to the symptoms that associates with it on a broad spectrum that ranges from sadness to major effective disorder. The prevalence of depression in cancer patients is further put to test because of the changes in moods are often very difficult to evaluate more so when the patients in question is also receiving treatment of cancer and continuous threats of stress, fatigue and the pain they experience.

Doctor Akoury agrees that even though many research groups have assessed depression in cancer patients for several decades in the past, the reported prevalence varies significantly because of varying conceptualizations of depression, and in fact the definition of depression is not standard and different principles use for the definition of depression. Some of the differences may include the methodological approaches to the measurement of depression, and even the different populations studied. Depression is highly associated with oropharyngeal, pancreatic, breast, and lung cancers. A less high prevalence of depression is reported in patients with other cancers, such as colon, gynecological, and lymphoma. In this discussion we are going to make certain reviews on the prevalence of depression in cancer patients even as we desire to get the perfect links between the two health conditions.

Depression affects 121 million people and is among the leading causes of disability worldwide. If not treated in time depression can lead to personal suffering and increased mortality. Although the prevalence of depression varies considerably globally, the most common symptoms of depression may include:

Looking at gender, women are the most vulnerable to be depressed than men. Even though the available estimates shows that major depression are common with people in their late twenties, research findings puts children also at risk where in every ten children, one will have periodic feelings of sadness. This has been seen as one of the greatest indicators of depression says doctor Dalal Akoury. Experts also put the prevalence of depression in pre-pubertal children ranges from 1% to 3% and from 3% to 9% in adolescents; however, the lifetime prevalence through adolescence is estimated to be as high as 20%. Although there is no difference in the prevalence rate between sexes before puberty, females are at higher risk after puberty. Depression in children negatively affects a child’s development and often manifests as behavioral problems or somatic complaints.

The Prevalence of Depression in Cancer Patients: The Coexistence of Depression

Depression is not alone ranger and it is commonly coexisting with other syndromes and symptoms, like for instance the anxiety disorders posttraumatic stress disorder, panic disorder, generalized anxiety disorder and pain. The National Comorbidity Survey data show that in a 12-month period, 51% of patients with major depressive disorders are diagnosed with an additional anxiety disorder. Patients with comorbid depression and anxiety disorders experience more severe symptoms, have a longer time to recovery, use more healthcare resources, and have poorer outcome than do those with a single disorder.

The symptoms of depression and personal suffering resulting from this disorder have been well described. The complex biological underpinnings result from disturbances in neurotransmitters and hypothalamic-pituitary-gonadal axis dis-regulation. The last two decades have produced exciting science and advances in the understanding of the neurobiology and pathophysiology of depression. Electro-physiologic studies, neuroimaging techniques i.e., magnetic resonance imaging; computed tomography; single photon emission computed tomography; positron emission tomography; functional magnetic resonance imaging and neuropsychological studies are providing information about the neuroanatomical substrate of depression as we are learning more about how systemic disease effects vulnerability to depression.

The Prevalence of Depression in Cancer Patients: Early Studies of Depression in Cancer Patients

When a significant number of mental health professionals began working in oncology settings, they asked oncologists to describe their perceptions of the prevalence of psychiatric disorders in cancer patients. They were able to find common responses ranging from “everyone is depressed which is very true because they have cancer” to “no one is depressed; these are just normal people” and likely were a reflection of the respondent’s mood and coping style.

One of the first efforts in psycho-oncology was to obtain objective data on the type and frequency of psychological problems in cancer patients. Using criteria from the Diagnostic and Statistical Manual of Mental DisordersThird Edition (DSM-III) classification of psychiatric disorders, the Psychosocial Collaborative Oncology Group determined the psychiatric disorders in 215 randomly selected hospitalized and ambulatory adult cancer patients in three cancer centers by structured clinical interview. Although 53% of the patients evaluated were adjusting normally to stress, the remainder (47%) had clinically apparently psychiatric disorders. Of this 47% with psychiatric disorders, more than two-thirds had adjustment disorders with depressed or anxious mood, 13% had a major depression, 8% had an organic mental disorder, 7% had a personality disorder and 4% had a preexisting anxiety disorder. The authors concluded that nearly 90% of the psychiatric disorders observed were reactions to or manifestations of disease or treatment. Personality and anxiety disorders can complicate cancer treatment and were described as antecedent to the cancer diagnosis. The finding of 4% anxiety disorders was far below what would have been expected in the general population.

Thirty-nine percent of those who received a psychiatric diagnosis experienced significant pain. In contrast, only 19% of patients who did not receive a psychiatric diagnosis had significant pain. The psychiatric diagnosis of the patients with pain was predominately adjustment disorder with depressed or mixed mood (69%), but of note, 15% of patients with significant pain had symptoms of a major depression. Finally in whichever way you look at depression and cancer, these two conditions put together in an individual’s live can be very dangerous. We must therefore do all within our reach to keep distance from all these complications. One of the most important things you must keep in mind is the consistent consultation with the experts for professional advice. Doctor Akoury and her team of experts at AWAREmed Health and Wellness Resource Center will handle your situation with great confidentiality and most importantly offer you lasting solutions professionally. Your health should come first and therefore, schedule for that appointment today.

The Prevalence of Depression in Cancer Patients: Depression and Cancer

 

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