Managing Stress and Anxiety
In a way, it seems ridiculous to write or think about managing stress for women with breast cancer. Just in case you didn't already have stresses in your life, you now have to deal with this: "I am so sorry to tell you, Ms X, that you have breast cancer. You will need surgery, might get by with a lumpectomy, might need to lose your breast. You may then consider reconstruction which is a huge operation that may involve moving other body parts and a long recovery. You may need radiation therapy and, oh yes, chemotherapy. Chemo will cause you to lose your hair and feel generally lousy and will improve, but not guarantee, your chances of staying well. Most women gain weight, something like 10-20 pounds, through chemo and find it hard to take it off later. If you are ER positive, you will take hormonal therapy, pills, for at least 5 years which will thrown you into menopause (if the chemo hasn't already done so) or even cause a recurrence of menopausal symptoms if you have already had this life change. And, of course, you might die even after all this."
STRESS indeed! Tip: Humor helps.
But here is a nice essay from ASCO's Patient Site about trying to keep sane and balanced through all of this:
Last Updated: November 17, 2008
An illness such as cancer can be one of the most stressful events of a person's life. The stress of cancer and its treatment is increased by family, work, and financial concerns, in addition to everyday stress that was
present before the cancer diagnosis.
Stress has not been shown to cause cancer; however, chronic stress may weaken the immune system, causing other health problems and decreasing feelings of well-being.
Tips for reducing stress
Some sources of stress (known as stressors) are predictable and can often be avoided. Making small changes, such as planning your schedule carefully and reducing your workload, can help lower the number of stressors in your life. The following general tips can often help to reduce stress:
Avoid scheduling conflicts. Use a day planner or personal digital assistant (PDA) to keep track of your appointments and activities. When scheduling activities, allow plenty of time to finish one activity before
starting the next. Don't schedule too many activities for the same day or week, especially activities that require preparation.
Be aware of your limits. Allow yourself to say "no" when people ask you to take on tasks you don't have time or energy to complete. At work, don't volunteer for projects that you don't have time to work on.
Cancer and treatment may leave you feeling fatigued, and you may need to take on fewer tasks if your energy level is low.
Ask for help. Ask family, friends, and coworkers for help. People are likely to offer their help, so think about what you need in advance, such as help with shopping or picking up a child from school.
Prioritize your tasks. Make a list of the things you have to do (including work, chores, etc.) and rank them in order of importance, considering both things you must do and things that are important to you. If you
don't have time to do everything, concentrate on the tasks and activities at the top of your list.
Break down tasks into smaller steps. Break large tasks or problems into smaller steps and approach the steps one at a time. This process can make seemingly overwhelming problems easier to handle. For
example, instead of spending an afternoon cleaning your house, tackle one or two rooms each day.
Concentrate your efforts on things you can control. For instance, the doctor's schedule and traffic are out of your control, even with the best planning. People who can remain flexible keep their stress low.
Sometimes the only aspect of a problem you can control is how you react to it.
Get help with financial problems. Ask an oncology social worker or a financial adviser who is familiar with cancer for advice on dealing with cancer-related insurance and financial matters. Do not wait to seek
financial help; late bills and debt can quickly become overwhelming if not handled properly. Learn more about financial support resources.
Stress management strategies
While you can reduce your overall stress, it is not possible to eliminate all the stress in your life. Stress management strategies help you feel more relaxed and less anxious. The following list includes suggestions of what you can do everyday to help reduce stress:
Get frequent, moderate exercise. Moderate exercise, such a 30-minute walk, swim, or bike ride, lowers stress when done daily or at least several times a week. Talk with your doctor before starting an exercise regimen. Learn more about physical activity and cancer.
Schedule social activities. Plan times to socialize with family and friends. Having supportive friends and family is one of the most significant ways to reduce stress.
Eat well and get plenty of sleep. Maintaining a healthy diet and getting enough rest will give you more energy to deal with daily stressors. Learn more about nutrition and cooking resources for people living with cancer and strategies for a better night's sleep.
Join a support group. Support groups offer you the chance to talk about your feelings and fears with others
who share and understand your experiences. You can also talk with a trusted friend, a counselor, or a social worker. Learn more about support groups.
Schedule daily leisure time. Spend time doing an activity you find relaxing, such as reading a book, gardening, or listening to music.
Do things you enjoy. Eat at your favorite restaurant or watch your favorite television show. Laughter reduces stress; see a funny movie or read a humorous book. Learn more about coping with cancer through humor.
Write in a journal. Writing about the stresses and events in your life provides a private way to express your feelings. Learn more about finding comfort through journaling.
Learn a new hobby. Engaging in a new and challenging activity gives you a sense of accomplishment and provides distraction from daily worries. Examples include enrolling in an art class or playing a musical instrument.
The following techniques may help you relax when feeling stressed. These techniques must be learned and practiced to become effective. Most can be learned in a few sessions with a counselor. Many hospitals and
cancer centers have classes to teach patients relaxation techniques. Some of these techniques can be learned
by following written directions. These techniques can be done daily, as well as at specific stressful times, such as during a medical procedure.
Relaxed or deep breathing. A technique that involves deep, slow breathing while concentrating on filling the lungs and relaxing muscles.
Mental imagery or visualization. A technique for creating peaceful and relaxing images in the mind.
Progressive muscle relaxation. A technique that involves tightening and then relaxing muscles, starting at either the toes or the head and progressively relaxing all the muscles either up or down the body.
Meditation. A technique in which you learn to relax your mind and concentrate on an inner sense of calm.
Biofeedback. A technique in which you are taught to relax and control your body's response to stress by paying attention to signals from the body.
Yoga. A technique that focuses the mind on breathing and posture to promote relaxation and to reduce fatigue.