The Emotions of Cancer
A cancer diagnosis unleashes a vortex of emotions stemming from the existential threat to life, grueling treatments, and uncertainty ahead. Shock, fear, sadness, anger, and confusion often churn within patients following the life-altering news. Coping with the loss of normalcy and control, appreciating mortality, managing fears of recurrence, and bracing for pain and discomfort all weigh heavily. But counterbalancing hope, resilience, camaraderie, and humor also blossom. Adjusting expectations, strengthening relationships, finding meaning amid the turbulence, and striving for emotional equilibrium become central. While each journey is unique,psychoemotional support is pivotal so that no one withstands cancer’s tribulations alone. Understanding and addressing the profound holistic impact beyond the physical manifestations is vital so that life can be fulfilling regardless of outcome.
Executive Summary
A cancer diagnosis can trigger a whirlwind of emotions, including shock, fear, sadness, and anger. It's normal to feel a mix of these emotions, and everyone responds differently. Understanding these feelings can help you accept your experience and find ways to cope.
Shock is a common initial reaction to a cancer diagnosis. You might feel like you're dreaming or experience physical symptoms like a racing heart or numbness. This shock can make it hard to think clearly or remember details, but it's a normal protective response.
Fear and uncertainty often follow the initial shock. Your vision of the future might suddenly change, leading to worries about treatment, finances, and impact on loved ones. This can make you feel helpless or vulnerable, but these feelings usually pass with time.
Anxiety might show up as constant worry or intrusive thoughts about "what if" scenarios. This anxiety can cause physical symptoms and make you hyper-aware of every bodily sensation. Understanding that some of these symptoms are just your body's natural response can help you manage this anxiety.
A cancer diagnosis can make you confront your own mortality, leading to deep fears about suffering and death. While this can be unsettling, it can also lead to a richer appreciation of life and deeper engagement with your experiences.
Social anxiety is common among cancer patients. You might worry about being pitied, rejected, or becoming a burden to others. However, many people emerge from cancer stronger and wiser, having developed a deeper sense of self-love and value.
While facing cancer is challenging, it can also lead to personal growth and transformation. By confronting fears and self-doubt, many people find new strength and a deeper appreciation for life. Remember, professional support and counseling can be valuable in navigating these complex emotions.
We have talked many times about the impact of getting diagnosed with cancer. No matter how much we have prepared, we are never really ready to hear those words; "you have cancer." Each one of us responds to this message in our own unique way, in a way that we can't quite prepare for. We are often surprised, no we have suspected that this is what we would be told. We want to go over with you here, some of the ways that we often respond. We're going to talk about these as though each emotion that we describe is distinct and separate from the others. Of course that's not how it happens. We often experience a mix of these. And it's not uncommon that we respond to this message in ways that are beyond what we describe here. We share this information so that we can maybe recognize more clearly our own response. And hopefully in recognizing the ways that we are feeling, we can more readily accept our experience and more readily have resources and choices. Again, don't mean this list nor the descriptions of each of these ways of feeling to be all inclusive. As you read through these, you can sense in yourself where these may fit and where it may be different for you. We do want you to read this with the understanding that many many others have had similar experiences and that you are not alone. Others have learned to find a way to make sense of their experience, have come to some understanding of their experience and very often have found peace by first accepting what they're experiencing and then set a direction to where they want to go with this next.
In the first part of this note, we're going to list and describe some of the most common experiences people have upon being diagnosed with cancer. After this we're going to follow up with ways that we can more actively respond to each of these emotions and experiences. Again, you may find that only one of these fits for you or that several do or a combination of these do. There's certainly is no right way. What we experience is ours and clearly unique to us. Some of us may want to ignore all of this, deny it or just pretend that we're fine. Even that is okay for a time. Ignoring these emotions over time can adversely affect our bodies ability to do all it can to overcome cancer and certainly can adversely affect our ability to live our life in the fullest way. There are certainly no shoulds in anything that we are presenting here.
As we've said, receiving a cancer diagnosis is often an emotionally overwhelming and life-altering experience that can easily leave a person in a State of Shock. This experience can vary widely between individuals, on there personal life context, their psychological resilience and the type and stage of cancer that they're diagnosed with. Here we're going to attempt to describe some of the general aspects of shock that one might experience.
-
Emotional Shock and Disbelief
Our initial shock often shows up as a sense of disbelief or even denial. "This can't be happening to me" or "maybe there's a mistake" are common reactions. We may feel as if time has stopped or as though we're suddenly in an alternate reality. This can feel almost like We're Dreaming. This is so often a protective mechanism that helps to buffer the intense emotional response to the situation.
-
Physical Sensations
This shock can also be accompanied by physical sensations, which is a racing heart, mouth, or a feeling of being numb or detached. People often describe the experience as feeling a profound heaviness or Sinking sensation in their chest or stomach. Sometimes people even have a full-blown attack with symptoms like shortness of breath, sweating, trembling, or a feeling of impending doom. These physical sensations are often just as disturbing as the diagnosis itself." what is happening to me?" it is very helpful to recognize that these are normal sensations and that if we accept them as normal, they usually will pass. This is just our brains way of trying to give us the space to make sense of the information that we've just gotten.
-
Cognitive Disruption
Following getting a cancer diagnosis, the shock can disrupt our cognitive processes, leading to difficulties in processing information, concentrating, or even making decisions. We may find that we have a hard time remembering the details of the conversation that we've had with our doctor or understanding the implications of what we've been told. We might keep asking the same questions, to make sense of the news. Again we may feel like we're in a dream where nothing quite makes sense. Or we might feel like we've been jolted out of our reality and we just have a hard time thinking about things for a time. This too, if we accepted, will pass. Often if we fight it or get scared of it, it amplifies or stays around longer than it needs to.
-
Fear and Uncertainty
This shock is often coupled with intense fear and uncertainty about the future. The vision that we've had for our future, the sense of what we thought was going to happen in the future, is often quite disrupted. With this, can we don't quite know what to think or what to imagine our future is going to be like. It can take some time to integrate this new diagnosis and figure out how to go forward. Concerns about treatment, closest, physical, financial implications, and the impact on our loved ones can feel overwhelming. The individual might feel a sudden and sometimes profound loss of control leading to feelings of helplessness and vulnerability. Once again, with time this will also pass. A little further on, will describe ways to work through these experiences in a more timely way and a way that gives us more sense of being in control.
-
Grief and Loss
The shock in the various forms that we've described may eventually give way to a sense of grief as the reality of this diagnosis sets in undefined this isn't just grief for the potential loss of life, but also for the loss of Health, economy and a sense of normalcy. The person might grieve for the future that they had envisioned for themselves, now seems uncertain or even unattainable. If we come at this in a clear way, this too will pass and new options and approaches will make themselves available to us.
-
Shift in Identity
The shock of a cancer diagnosis can lead to a reevaluation of one's identity. Sometimes the person starts seeing themselves as a patient or a victim, into feelings of dehumanization or a loss of self-esteem. Too often they start feeling as though there is something wrong with them that they have developed cancer and that somehow they're not fully acceptable. The phrase " I am a cancer patient" may at first feel alien and difficult to accept. Then sometimes it seems to become our new identity and locks us into that kind of worldview.
It is important to recognize that at times professional support, including psychological counseling, can be invaluable in managing the shock and the emotional turmoil of a cancer diagnosis. Sometimes people think that this makes them even more broken. Addressing and dealing with all this actually ultimately makes us stronger. Everyone responds to such a diagnosis differently and there is no right or wrong way to feel. This is a journey of processing and coming to terms with a new reality, takes time and often is made better by a strong support network.
-
Constant Worry and Intrusive Thoughts
Fear and anxiety May manifest as constant worry and negative thoughts that are hard to control. We might find ourselves caught in a loop of " what if" scenarios, " what if the treatment doesn't work?" or " what if I can't handle the side effects?" this type of intrusive thought can be persistent and can interfere with daily activities, and an overall sense of well-being.
Much of this type of anxiety stems from the fear of the unknown. This could include uncertainty about our prognosis, what the treatment process will look like and how the disease will impact our lives and our relationships. Is common to feel overwhelmed by a lack of control over the future, leading to an ongoing state of unease and tension. We might experience physical symptoms of anxiety as we mentioned, to racing heart, breathing, omnia, rest, gambling and GI problems. This physical discomfort at times can further intensify the feelings of anxiety, creating somewhat of a vicious loop. When we experience anxiety our body produces adrenaline, causes many of these symptoms. When we feel that surge of adrenaline, if we don't identify it correctly, take that to mean that something else is wrong and that can trigger the release of more adrenaline and the loop begins. If we recognize that this is just adrenaline being released as an old ancient mechanism that is meant to prepare us to deal with challenges, then we can see the adrenaline in its proper role and we can relax knowing that in a few minutes the adrenaline will be used up and will be more relaxed again. Otherwise we can enter a state of heightened body vigilance, we become overly conscious of every physical sensation and we can even then interpret that as a sign of the disease progressing or even the treatment failing or something else going wrong. Again we want to understand this release of adrenaline as a natural process that the body uses to prepare itself to deal with whatever's next. It is the body trying to work properly.
-
Fear of Suffering and Death
For many of us, to diagnosis confronts us with the Stark reminder and reality of our mortality. At times this can lead to existential anxiety. This can look like fears relating to suffering, and a fear of leaving loved ones behind. It can be a deeply unsettling realization that can trigger an intense range of emotions. We can either react by shutting down and trying to avoid these feelings or we can respond in a way that makes life much richer and more precious and that deepens our engagement in the very process we are going through. In many cases, using this to engage more deeply leads to a richer sense of life and often supports our body and being able to function in a better way as it works to overcome the cancer.
-
Social Anxiety
So often when we receive a cancer diagnosis, we experience social anxiety. This means that we worry about how others perceive us now that we are a "cancer patient." sometimes we fear being pitied, rejected or we fear becoming a burden to those that care for us. Sometimes we see ourselves as no longer being a functioning and valid member of society. As we've mentioned before, since we feel as though we're broken and no longer a contributing or important member of society. There can be a sense of shame, as were no longer justified, if there were no longer in good standing amongst our peers and amongst humanity in general. It's a bit as though we have received that infamous scarlet letter. Cancer is such a big stigma in our society that we feel at times as though we can no longer justify our existence. Just feel as though we're a burden. Of course this is not true and others will assure us that they love us as much as ever. But sometimes in our mind we have a hard time really believing that. And yet, so often people emerge from having had cancer stronger,clearer and wiser than ever. We have been challenged and when we step up to that challenge it develops such a capacity in us to deal with life and even more notable ways than we ever have before. We have learned something about our self and about life that can transform us, that is invaluable. We may have had to deal with and overcome those feelings of worthlessness and self blame, even we know it wasn't our fault. On the other side of this, having stood up in ourselves and challenged these things, find a deep well of self-love and self value. This can be one of the silver linings that illness can bring.
https://www.cancer.gov/about-cancer/coping/feelings https://www.cancer.gov/about-cancer/coping/feelings/stress-fact-sheet https://www.ncbi.nlm.nih.gov/books/NBK4011/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047657/ https://www.cancer.org/cancer/managing-cancer/side-effects/emotional-mood-changes.html https://cancerquest.org/patients/psychosocial-problems https://www.cancer.net/coping-with-cancer/managing-emotions https://www.cancer.net/coping-with-cancer/physical-emotional-and-social-effects-cancer