How can I help myself cope with cancer

May 3, 2015

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

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?

Depression in Women with Breast Cancer

April 30, 2015

Depression in Women with Breast Cancer: The most talk about type of cancer

Depression in Women with Breast Cancer is realistic and must be addressed timely if we have to keep the beauty and health of our loved ones breast.

Of all the cancer types, breast cancer is the one most studied more so when it comes to the psychosocial effects. It therefore goes without mention that of all the studies done, most of them are focusing on women and breast cancer. This is what the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are going to help us understand. Remember that doctor Akoury is also the founder of this facility and ever since she has been of great help to many people across the globe. You can be among the many that have been treated and are now enjoying their lives to the fullest by seeking an audience with her today through a phone call and you will not regret it. In the meantime, let us settle into the discussion focusing on the depression in women with breast cancer.

Depression in Women with Breast Cancer: Longitudinal studies of depression in women with breast cancer

Like I had said before, this has become a great point of concern to researchers and a lot is being done in this direction. Like for instance and according to one of the prospective study where 160 women with breast cancer and were schedule for breast surgery, it was established that about 22% prevalence of depression in women who had a mastectomy for breast cancer. In relation to those with initial stages of cancer this prevalence was consistent for two years. During this period a 30% rate of anxiety in a study of 58 ambulatory women who were 5 years post treatment for breast cancer. Nonetheless women who had partial mastectomy followed by radiation had better body image but similar amount of anxiety and depression symptoms and fear of recurrence as did women who had modified radical mastectomy.

Depression in Women with Breast Cancer: Depression in breast cancer patients by surgical procedure

Of the many studies conducted, when the specialist were analyzing the various findings and in comparison with the psychological outcomes of the women undergoing different surgical procedures, it was established some low levels of depression but higher levels of anxiety in 133 ambulatory breast cancer patients receiving radiotherapy after mastectomy or lumpectomy. The end result of this study shows clear evidence that in a cutoff score of 10 on HADS only two mastectomy patients were considered significantly depressed. And on the other hand if a HADS cutoff score of 8 was applied, then 6.7% were depressed. In contrast, in a study of 123 women with breast cancer, there was a clear evidence of high prevalence of depression (50% in mastectomy, 50% in lumpectomy with radiation versus 41% in lumpectomy only). These high percentages may have resulted from a use of a self-report depression scale (Center for Epidemiology Self-report Depression Scale [CES-D]) rather than a DSM-IIIR criteria-based clinical interview.

Depression in Women with Breast Cancer: Prior History of Depression in Women with Breast Cancer

Few researchers have noted the time of onset of depression or correlated patients’ history of depression with current depression or functioning. Notably, researchers reported findings on a homogenous sample of 79 women evaluated with the Diagnostic Interview Schedule and CES-D 3–7 months after their diagnosis of breast cancer. Nearly 18% of this sample had a past or current history of depression according to DSM-IIIR criteria. Women with elevated depressive symptoms had more physical symptom distress and more impaired functioning than subjects with depressive disorders and without depression.

In a cross-sectional study of 303 relatively young (mean age 46 years) women with early (stage I or II) breast cancer at 3 months after breast surgery using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and HADS, it was again established that a past history of depression was associated with depression. It was also noted that women with few psychological symptoms and good emotional adjustment to cancer may have refused participation in this study because these women were also being recruited into an intervention study.

Depression in Women with Breast Cancer: Hormones and Depression in Women with Breast Cancer

In one of the studies involving 257 women with lymph node-negative breast cancer, 155 of who were treated with tamoxifen and 102 who were not. On the basis of clinical interview, 15% of the tamoxifen-treated group had depression compared with 3% of those not taking tamoxifen. Of the 23 women with depression, eight had mild symptoms and no change in tamoxifen dose was made, eight had significant depression requiring a dose reduction to relieve symptoms, and seven had to discontinue tamoxifen secondary to depression.

Depression in Women with Breast Cancer: Prevalence of Depression in Women with Advanced Breast Cancer

Studies evaluating the correlation of depression with disease progression in women with breast cancer have shown inconsistent results. Experts have found less depression in women with advanced breast cancer (4.5%) than in those with recurrent disease (15%). Physical disability did not relate to emotional disturbance. And yet in another study experts reported that ambulatory advanced breast cancer patients had a 20% depression prevalence in one study and 9% depression in another. Still again other studies found a 32% prevalence of depression in 22 women with local recurrence comparable with rates found with mastectomy. And in yet another research experts found a 13% prevalence of depression in advanced breast cancer patients (N = 139); increased levels of depression were found in those with lowest socioeconomic status, poorest performance status, and closer proximity to death.

In view of all these studies, researches and their findings it is becoming clearer that depression in women with breast cancer is realistically a problem that we cannot just wish away. It will take a consolidated effort from all us (medical professionals, government authorities, the general public and all interested parties) to pool together in the fight against these life threatening conditions. On her part as a medical expert, doctor Akoury made a decision to create a medical center (AWAREmed Health and Wellness Resource Center) whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. I strongly believe that you want your life to be transformed for the best of the very best. If this describes your interest, then you can schedule for an appointment with doctor Akoury today and being the life transformation journey with the best in the medical practice.

Depression in Women with Breast Cancer: The most talk about type of cancer

The Prevalence of Depression in Cancer Patients

April 29, 2015

The Prevalence of Depression in Cancer Patients: Depression and Cancer

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:

Depressed mood
Insomnia and
Fatigue

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 Disorders–Third 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

The corresponding link between Cancer and Depression

March 10, 2015

The corresponding link between Cancer and Depression: How Stress may Cause Cancer

The corresponding link between Cancer and Depression are very clear in the common sense understanding even without scientific evidence

We may not like it but it is here with us. In one way or the other we have to be depressed. Things that are happening around us often make us to be stressed up to the extent that stress is seen as a part of our lives. We need to be care full in dealing with it because the way we handle stress can have an impact on our health. It goes without mention that stress is a common occurrence to everyone, no wonder we hear more and more about the harm it is causing to our minds and bodies from heart disease to anxiety attacks. Now researchers across the globe are trying to determine if stress is also a factor in the development of cancer and we at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care are not left out. We are equally making effort to finding the corresponding link between cancer and depression to join in the fight of keeping our society free from cancer. It is true that currently there is no clear evidence that stress is a direct cause of cancer. However evidence is accumulating that shows the association between stress and development of certain kinds of cancer as well as how the disease progresses.

Several studies have measured how stress impacts on our immune systems and fights disease. At various higher learning institutions researchers have actually established that students under pressure have slower-healing wounds and they take longer to produce immune system cells that kill invading organisms. According to a renowned researcher Dr. Dean Ornish M.D. who has spent over two decades examining the effects of stress on the body, his findings indicated that stress-reduction techniques could actually help reverse heart disease. And Dr. Barry Spiegel, M.D., a leader in the field of psychosomatic medicine, found that metastatic breast cancer patients lived longer when they participated in support groups. In connection to that other studies have even gone as far as to show those women who experienced traumatic life events or losses in previous years had significantly higher rates of breast cancer.

Still, the National Cancer Institute reports that even though studies have shown that stress factors, such as death of a spouse, social isolation, and medical school examinations, alter the way the immune system functions, they have not provided scientific evidence of a direct cause-and-effect relationship between these immune system changes and the development of cancer. Nonetheless in the process of putting the corresponding link between cancer and depression into perspective, some medical experts have reported that the link between cancer and stress is that “if stress reduces the body’s ability to fight disease, then it is capable of losing the ability to kill cancer cells.”

The corresponding link between Cancer and Depression: Environmental Factors

Doctor Dalal Akoury says that every day, our bodies are exposed to cancer-causing agents in the air, food and water we’re exposed to. Typically, our immune system recognizes those abnormal cells and kills them before they produce a tumor. There are three important things that can happen to prevent cancer from developing and they include the following:

The immune system can prevent the agents from invading in the first place
DNA can repair the abnormal cells
The killer T-cells can kill off cancer cells.

It has become very clear from the research findings that stress can lower the body’s ability to do each of those things. This now leaves us wondering that does it therefore means that there’s a direct link between stress and the risk of developing cancer? It may appear to be so but the bottom line is that it is not true in any way. Nonetheless the part of the reason that stress may be linked to cancer is simply that when people are under pressure they make very dangerous and poor choices like beginning smoking, discontinuing exercises and eating unhealthy foods all factors that are also linked to cancer. That is what makes people think that there is some iota of relationship between cancer and depression.

She adds that even if that’s not the case, there are a lot of things that have to happen for cancer to develop. In her opinion she thinks it’s fair to say that stress could be one of the many components in lowering immune systems and therefore making us more vulnerable to cancer and a faster progression of the disease. But stress might just be one piece of the puzzle what percentage is the question. I fall back on the fact that regardless of what percentage it might be, it’s a percentage we’re more in control of. We can’t control genetics, but we can change how we respond to stress,” she said, adding that it’s not necessarily the stress itself as much as the way people handle stress that may be linked to disease. That’s why it’s important that the public understand the connection between stress and cancer, despite lack of hard scientific evidence, according to Dr. Dalal Akoury the M.D and founder of AWAREmed Health and Wellness Resource Center. Ideally when you take the scientific information available and pool it together with the common sense evidence, then the link becomes obvious. The problem we have in Western medicine is what we consider acceptable evidence.

The corresponding link between Cancer and Depression: While waiting for Scientific Evidence

As we near the conclusion of this article, I want to make certain emphasis for the good of your health. Evidence is very good however I wonder whether we need concrete or cemented evidence as a clearance to encourage people to start moving in the direction of better health. Good health can and should not weight for evidence and so feeding well on good food, engagement in healthy physical activities and being composed and calm to defeat stress are things you can do without waiting for scientific evidence. It will take science some time to get the evidence they are looking for but while that is progressing this will be very helpful for you. Now with this information you’re aware that stress will impact negatively on your health if not addressed. You’re also aware that it may not be possible to completely eliminate stress. Therefore, the key isn’t in doing away with all of life’s pressures but in how you handle them as they come. I want to make few suggestions to help you get through life pressures. When you visit us at AWAREmed Health and Wellness Resource Center, doctor Akoury and her team of experts have developed a group stress reduction class for cancer patients and survivors where proper management of the two is professionally dealt with. This will be very good for you and your loved ones if only you can schedule for an appointment with the experts at this facility today. We will take you through various techniques of reducing stress and by extension cancer in a much more relaxed environment. Some of the methods may include the technique of deep breathing, careful meditation, imagery and mindfulness. We will be very glad to be part of your solution, call doctor Akoury today.

Tag Archives: Cancer and Depression