Fear of cancer recurrence
Fear of cancer recurrence
After a diagnosis of cancer and having finished treatment, we often experience an increase in psychological distress[1] with feelings of uncertainty about cancer recurrence. Any physical sensation or significant events like scans, blood tests and anniversaries can lead to anxious thoughts and feelings about the cancer returning.
When we are experiencing such fears, a part of our brain (the amygdala) goes into fight-flight-freeze mode (normally activated to protect us from danger). It is not only important for us to recognise this but also understand when it becomes counterproductive or harmful.
Here are some suggestions on how to manage the fear of recurrence:
After treatment, it is important to get to know the ‘new normal’ of our bodies. Without hard facts, it is normal to constantly check ourselves for any signs of recurrence. So, when treatment is finished, it’s a good idea to speak with your clinical team about possible signs and symptoms to look for and find out who to contact if we need a check-up sooner than our next scheduled scan or blood test.
Usually, the constant checking, or the false signs of recurrence create panic, worry, fear and rumination. We need to find ways of looking after our mental wellness around scans, tests and anniversaries as this will help to reduce feelings of anxiety.
One of the best ways is to speak to someone. Don’t think it through. Just phone a friend, family member or someone to talk to. Secondly, try and turn down the worry by tuning into our body with simple bath times, listening to music and activities that can calm down the fear part of our brain (amygdala) so we can think straight.
If we begin to notice that the anxious feelings are taking us away from enjoying activities in life, creating feelings of hopelessness or a sense of stuckness in how to move forward in life then it may be worth speaking to a qualified psychological therapist to provide counselling. Therapy can help to make sense of your feelings and support you in how to live with uncertainty.
August 2022
Dr Lisa Dvorjetz has no disclosures to report.
Reference
[1] Hodgkinson K et al. Breast cancer survivors’ supportive care needs 2–10 years after diagnosis. Support Care Cancer. 2007; 15(5): 515–523.