A patient’s mental state plays an important role in the treatment of cancer. Psycho-oncology addresses this subject and provides patients and their family members with proven methods of assistance.
For a long time, cancer is just a word that feels distant and abstract. Only once you or someone in your family is affected does it suddenly take on a whole new and immediate meaning. It throws a different light on your own life and raises existential questions. By focussing on the patient’s mental state, psycho-oncology or psychological oncology is therefore very important for cancer patients and their family members.
Angelika von Aufsess worked for a decade as a psycho-oncologist in a rehabilitation clinic in Germany. She knows: “Following a cancer diagnosis, action often centres around the medical treatment. During this phase, many patients lack the energy to deal with the stress they’re under. They suppress these feelings, and efforts to process what has happened are ‘parked’. But sooner or later, strong emotions arise and want to make themselves heard.” In rehab, she experienced that, for many people, a good time for addressing these emotions was after physical therapy was completed.
As part of cancer treatment, psychological counselling can help people deal with their fears and other difficult feelings. Specialists support cancer patients and their relatives, listen to them and work with them to find solutions to the problems they’re facing. This can take the form of individual or group counselling therapy. As with other psychological services, however, the spectrum is broader: Also on offer are therapeutic writing, art therapy, hypnosis, self-help groups and much more.
Around a third of people with cancer have – in some phases, at least – a mental disorder such as an anxiety disorder or a depressive episode.
Sometimes it's about managing your own strength levels and saying no, but top of the list is to rediscover the joy of life. Whatever the individual’s personal focus is, the aim of psycho-oncology is always to help people with cancer stabilise their psychological condition. The specialists start by looking at the resources that patients or their relatives already possess and can activate directly. However, it may also mean that psychotherapy is needed.
Angelika von Aufsess cites figures from German studies that can presumably be adapted to Switzerland: “Around a third of people with cancer have – in some phases, at least – a mental disorder such as an anxiety disorder or a depressive episode.” This needs to be treated. Angelika von Aufsess also stresses that psycho-oncological services are designed not only for patients but for their family members too.
But Angelika von Aufsess has also made positive observations: “In fact, a cancer diagnosis is sometimes the beginning of a transformation process. Some people mature and grow as a result.” In concrete terms, this can often be the first time that they address their feelings and needs, and they suddenly find themselves setting clear priorities for their own well-being and health.
In larger specialised clinics, psycho-oncology is already an integrated service, providing support to patients in need of it in the acute phase of their cancer diagnosis and treatment. Patients requiring psychological support who have already completed this part of their treatment are advised to seek services in their local area. The Swiss Society of Psycho-Oncology has a list of reputable psychologists.
Psycho-oncologist Angelika von Aufsess has 2 basic tips for people needing help to try out for themselves.
Relatives play a leading role when it comes to cancer, as they’re the ones who form the patient's network. According to our expert, a good environment is one of the key factors in managing cancer from a psychological perspective.
Relatives also need support – the draining effect of their efforts is all too often overlooked, so they shouldn’t hesitate to accept help either. After all, it’s the same as with parents of small children: Parents first need to be in a good position themselves before they can support their children.
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