Anxiety and Depression Support

Ordinary worry comes and goes. It may be time to seek help if you feel down or anxious most days for two weeks or more, lose interest in things you used to enjoy, have trouble sleeping or eating beyond what treatment explains, or feel hopeless. Panic attacks, constant racing thoughts or avoiding appointments are also signs. Family members may notice changes before the patient does. If you or someone you care for has thoughts of suicide, call or text 988 in the United States or seek emergency care immediately.

Psycho-oncology is a field that focuses on the emotional and mental health needs of people with cancer. Many cancer centers have psychologists, psychiatrists, counselors or social workers trained in this area. They understand the specific stresses of treatment, uncertainty and changes in family roles. Your oncologist can make a referral, and some centers screen patients for distress routinely. If your center does not offer these services, ask for a referral to a community therapist who has experience with serious illness. Telehealth sessions can make it easier to attend when energy is limited.

Talk therapy can teach practical skills for managing worry, coping with uncertainty and communicating with loved ones. Medication for depression or anxiety may be appropriate for some people, and your doctors can choose options that work safely alongside cancer treatment. Palliative care teams also treat emotional symptoms along with physical ones. Support groups, especially those for mesothelioma patients or caregivers, can reduce isolation. Many insurance plans cover mental health care, so check your benefits or ask a social worker for help finding affordable options.

1. 1

   Tell your oncologist or nurse how you have been feeling emotionally at your next visit.

2. 2

   Ask for a referral to a psycho-oncology specialist, counselor or social worker at your center.

3. 3

   Check your insurance plan for mental health coverage and telehealth counseling options.

4. 4

   Save 988 in your phone and share it with family members in case of a crisis.