Treatment

Siteman Psychology Service

A cancer diagnosis often has a powerful impact on emotional health and well-being. It’s normal to feel alarmed, upset, and overwhelmed by all of the unknowns ahead. It’s also normal to maintain hope, joy, and a sense of humor in the midst of a major life upheaval.

Emotional reactions to cancer can vary, and there is not one right way to feel. While most individuals affected by cancer are not diagnosed with a mental illness, experiences of distress, anxiety, and depression are common. These symptoms can occur at any point in the treatment process and even after recovery as individuals adjust to a “new normal.”

Siteman Psychology Service is here to support adult patients, family members, or caregivers with any and all cancer-related mental health concerns. Our service is entirely free of charge and open to those experiencing any level of distress or other reaction to the cancer experience. Even if you are doing well, we can help you build on your strengths and add to your coping toolbox. We provide a holistic complement to your medical treatment team by focusing on the psychological side effects of cancer.

All of the psychologists on our staff are psycho-oncologists: doctors who specialize in the psychological care of cancer patients. They will partner with your medical providers at Siteman to develop a comprehensive treatment plan. They also conduct research into the conditions they treat, working to develop new therapies and techniques that can help you more effectively.

Siteman Psychology Service is located in the Barnard Health and Cancer Information Center, on the ground floor of the Center for Advanced Medicine at Siteman’s main campus in the Central West End. We also see patients on a limited basis at our facilities in South County, North County, West County, and St. Peters.

Click here to make an appointment.

What are common mental health issues experienced by cancer patients?

Patients with cancer often feel “distress:” powerful, unpleasant emotions that can affect them mentally, socially, and even spiritually. Some patients experience more intense distress than others. Mild distress might take the form of feeling sad or vulnerable, while severe distress can include panic attacks, social isolation, and existential grief. At its worst, distress can seem all-encompassing and inescapable. Some of the most common manifestations of distress are symptoms of depression and anxiety, such as:

  • Worry
  • Sadness
  • Fear
  • Low mood
  • Loss of appetite
  • Difficulty focusing or concentrating
  • Fatigue
  • Mood swings
  • Inability to sleep

These symptoms don’t necessarily mean that a patient has an anxiety disorder or clinical depression, but their impact cannot be underestimated. Sometimes, patients come to Siteman Psychology Service who have previously been diagnosed with a mental illness. Our doctors are fully equipped to handle both their existing mental illness and the distress caused by cancer.

What mental health issues do caregivers typically struggle with?

Like cancer patients, those who love them and care for them can experience negative emotions and distress, including symptoms of anxiety and depression. Caregivers may also struggle with “caregiver stress,” a condition in which they feel overwhelmed by caregiving duties and concern for the patient’s wellbeing.

How do the different stages of treatment impact mental health?

Patients should know that they may experience heightened distress at certain stages in their cancer journey.

  • Diagnosis: The time of diagnosis is an extremely stressful one for patients and caregivers. They are suddenly confronted with a major life disruption, and wonder about questions such as, “Will I survive?” “How much will the treatment change me and my body?” “How will I care for my family while going through treatment?” and “Will things ever be normal again?”
  • Immediately before treatment begins: Before beginning treatment, patients may worry about pain and side effects, as well as the disruptions to family life brought on by regular visits to the hospital or outpatient clinic.
  • Remission: It’s a relief to be told that your cancer is in remission and you no longer have to undergo treatment. However, many patients find it difficult to leave the constant supervision and protection offered by their doctors and nurses. They may worry how they will cope on their own, fear the recurrence of the cancer, or feel in shock from all that they have gone through. Some survivors experience symptoms of PTSD, or post-traumatic stress disorder, at this time.

It’s important to recognize that your mental wellness is often directly tied to your experience of treatment, and that emotional distress can make your treatments seem more painful and difficult to bear. Don’t hesitate to discuss your mental health with your medical providers. They may be able to make your treatments more comfortable for you both mentally and physically. Our staff is available to provide support at all stages of treatment and recovery, and we can be present for you in your treatment location if need be. We will work with your oncologists and other providers to integrate your mental health care into your treatment for cancer.

When should patients or caregivers seek help?

Patients and caregivers should feel free to seek help at any point, even if they don’t feel that their symptoms are “bad enough” to deserve attention. Though most patients and loved ones do learn to cope with their feelings in a healthy way, they can still benefit from psychological care as they navigate the fears and distress that are a normal part of being treated for cancer or caring for a cancer patient. However, patients or caregivers should seek additional support if they experience:

  • A lingering low mood
  • Lack of interest or engagement in things they once enjoyed
  • Significant worry that interferes with their ability to live or sleep

At Siteman Psychology Service, we can treat the psychological issues causing these problems as well as their physical effects, such as insomnia.

How can Siteman Psychology Service help me or my loved ones?

We offer a variety of therapies and treatments. Patients are first seen at an intake appointment, where they are assessed through questionnaires and provided with a treatment plan. Our treatments will include evidence-based practices, such as:

  • Supportive therapy: In talk therapy, you will discuss your fears, concerns, and experiences with a psychologist. He or she will use the conversation to help you better understand your situation and find ways to work through it.
  • Mindfulness interventions: Mindfulness is a process of bringing your full attention and awareness to the present moment, with an attitude of non-judgment and compassion for your own experience. This practice can help manage negative emotions, boost positive emotions, and enhance quality of life.
  • Cognitive behavioral therapy (CBT): Cognitive behavioral therapy teaches patients to replace harmful patterns of thought or behavior with healthier alternatives. For those with cancer, cognitive behavioral therapy can reduce fears and distress surrounding medical procedures.
  • Acceptance and commitment therapy (ACT): Acceptance and commitment therapy can be particularly helpful for patients who try to cope with cancer by ignoring or rejecting their feelings. In ACT, patients learn to accept the emotions they are experiencing without getting caught up in them. Then, patients are guided toward behavior change that is consistent with their own life values.

Does Siteman Psychology Service prescribe medication?

No, as clinical psychologists, we do not prescribe medication to our patients. If a patient would likely benefit from medication, we refer him or her to the cancer psychiatry department. Sometimes the combination of mental health medications and counseling is the most effective treatment for cancer-related mental health distress.

How much does it cost to be treated at Siteman Psychology Service?

Treatment at Siteman Psychology Service is free of charge: we bill neither you nor your insurance company. We are one of the only free psychological support resources in oncology, and we believe strongly that all patients should have access to the help they need. Integrated mental health services for cancer patients and their family members is truly the gold-standard in cancer care. Click here to contribute to our mission. Be sure to specify that your gift should go to Siteman Psychology Service.

How can I make an appointment with Siteman Psychology Service?

If you or a loved one wish to consult with a member of our team, call 314-747-5587 to reach our scheduler. You can also request a referral through one of your physicians. Appointments are available at our outpatient clinic and on inpatient units. If you prefer, you can click here to schedule an appointment online.

What lifestyle adjustments can cancer patients or caregivers make to improve mental health?

There are several simple strategies that can help cancer patients and those who love and care for them develop a greater sense of well-being during treatment and recovery:

  • Mindfulness
  • Relaxation techniques, such as deep breathing and guided imagery
  • Assembling and relying on a strong support system, such as family members,friends, and community groups
  • Talking to your medical team about physical and emotional distress