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Advanced Breast Cancer: Coping with Changing Emotions

Advanced Breast Cancer: Coping with Changing Emotions . Living Beyond Breast Cancer Networking Meeting 9 November 09 Neal Niznan, LCSW. Overview. Changing emotions Fear of uncertainty Coping strategies Communicating with family and friends Seeking support. LIVING.

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Advanced Breast Cancer: Coping with Changing Emotions

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  1. Advanced Breast Cancer:Coping with ChangingEmotions Living Beyond Breast Cancer Networking Meeting 9 November 09 Neal Niznan, LCSW

  2. Overview • Changing emotions • Fear of uncertainty • Coping strategies • Communicating with family and friends • Seeking support

  3. LIVING

  4. Living with AdvancedBreast Cancer Ongoing process. Not an end point, but a journey.

  5. The process is complex and involves recognizing difficulties over time.

  6. This journey is typified by detours taking individuals to places they did not expect to nor choose to go.

  7. Detours often occur at varying times taking individuals by surprise.

  8. You Experience Continual Change in Your Emotions

  9. Expressing One’s Emotions Patients who express their emotions and concerns enjoy better psychological adjustment than those who suppress their feelings. Provides an outlet, means of working them through, and openness to support. (Kneier, A.W., 2003)

  10. Let’s talk aboutUncertainty…

  11. Facing the Reality of One’s Illness React as if you are strongly motivated to know what you are facing. Ask brave questions about the seriousness of your condition and pros and cons of treatment options. (Kneier, A.W., 2003)

  12. Adopting a Participatory Stance Partnering with physician helps to overcome a passive, helpless stance associated with poorer psychological adjustment. (Kneier, A.W., 2003) Believe you can make a difference and put this belief into action.

  13. Coming to Terms With Mortality Opportunity to use religious and philosophical beliefs to seek meaning and purpose in one’s life. (Kneier, A.W., 2003) Facing the possibility of dying can cause more fear, desperation, and inner anguish if the person is not striving to come to terms with this possibility.

  14. Maintaining Hope and Optimism Patients who are hopeful and optimistic show better adjustment to illness than patients who are pessimistic (Kneier, A.W., 2003)

  15. Proportion and Balance Your emotions would be a mix of worry and hope proportional to the negative and positive aspects of his or her prognosis. Feeling worried or upset is tempered by feelings of hope and optimism. (Kneier, A.W., 2003)

  16. Stay more in the present moment Focus on what is important to you at this time in your life Counter feelings of uncertainty with regularly scheduled events and activities Do not be afraid to plan for future vacations or travel

  17. Coping Strategies

  18. Coping Attitudes and behaviors that have an adaptive intent when dealing with a threatening situation.

  19. Adopting ways of thinking and ways of behaving that aim to address the situation in a constructive manner and to safeguard one’s emotional state and to promote adjustment.

  20. Aspects of Coping The style of coping that works best for one person may not work so well for another.

  21. What works best depends on an individual’s personality, current life situation and past coping behavior.

  22. Your coping strategies need to be tailored to the specific demands posed by your diagnosis and treatment regimen which vary from case to case.

  23. Coping with cancer is a process that goes on over months and years, and patients use different strategies at different times depending on a variety of factors.

  24. Spirituality, Faith, and Prayer Patients have a greater sense of peace, inner strength, and ability to cope. They tend to have improved psychological adjustment and improved quality of life. (Kneier, A.W., 2003)

  25. Finding a Positive Meaning Illness as an opportunity for positive change in the patient’s life. Time for reflection on the ultimate values and priorities in their life. (Kneier, A.W., 2003)

  26. Maintaining Self-Esteem Threat and opportunity: Threats to self esteem lead to depression. Opportunity to discover new sources of self esteem. Maintaining normal activities and embracing new ways of doing things. (Kneier, A.W., 2003)

  27. Discussing Difficult Topicswith Family and Friends

  28. Reaching Out For Support It is psychologically better for you to reach out and take advantage of support that is available. (Kneier, A.W., 2003)

  29. Talk to those who will listen and understand Ask for what you need Speak from your heart to those you love

  30. Finding Support Family, friends, counselors, clergy and faith community Supportive organizations: Living Beyond Breast Cancer 1-888-753-5222 www.lbbc.org

  31. The wellness Community- Philadelphia 215-879-7733 www.thewellnesscomunity.org Advanced Breast Cancer Community www.advancedbreastcancercommunity.org Breast Cancer Network of Strength www.networkofstrength.org Your Shoes 24/7 breast cancer support 1-800-221-2141 1-800-986-9505 (Español)

  32. National Cancer Institute 1-800-4 cancer www.cancer.gov American Cancer Society 1-800-ACS-2345 www.cancer.org Cancer Care 1-800-813-HOPE www.cancercare.org

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