Emotional Stages of Breast Cancer

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Emotional Stages of Breast Cancer Diagnosis

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What emotions will you experience at the time of your breast cancer diagnosis, as you go through treatment, and on to survival?  Check out these slides which cover these 3 important times in your journey.

Emotions When You Are First Diagnosed With Breast Cancer

Breast cancer is a life-threatening disease that requires rigorous treatment. If you have been diagnosed with breast cancer, you, your family and friends will be experiencing waves of emotion (likely tidal waves at times.) Just as your diagnosis may differ from those of other breast cancer patients, your emotional experience may also differ. Knowing what other survivors have experienced and getting help early in the process can be helpful in navigating your way through this experience.

You may not have all of these emotions, but it's normal to have a range of emotions as you progress through treatment. Here are some emotional states that are similar to Kübler-Ross's Five Stages of Grief:

Naming Your Emotions - Examples

  • Denial and Shock - "This can't be true."
  • Anger, Rage - "This isn't fair." "Why wasn't I protected from this?" "Why me?"
  • Stress and Depression - "My life is already busy, I can't stop to deal with this." "I feel so sad." "Why should I get treatment? I'll die anyway."
  • Grief and Fear - "I'm going to die, but I don't want to." "I'm going to lose part of my body." [health, attractiveness] "I will never feel safe again."
  • Acceptance, Adjustment - "Okay, it's true. I've got breast cancer, but I don't have to like it or let it define who I am."
  • Fight and Hope - "I'm going to fight for my life! I'm getting all the help and support that's out there for me."

Next Slide - Emotions During Breast Cancer Treatment

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Emotions During Your Treatment for Breast Cancer

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Emotions During Breast Cancer Treatments

After diagnosis, you'll talk with your health care team about your options for breast cancer treatment. Patients are more involved in treatment decisions now than they were fifty years ago. But having more control doesn't mean that you won't experience the powerful emotions that come along with going through this process.

Whether your treatment course includes surgery, radiation, chemotherapy, hormone therapy, or a combination, you may have lots of unanswered questions. Educating yourself about these treatments and associated side effects can help reduce your concerns.

Naming Your Emotions - Examples

  • Concern about disfigurement – "After surgery, will I still be attractive?" "What will happen to my sex life?"
  • Fear of the unknown – "What will this be like?" "Can I survive the treatment?"
  • Worry about side effects – "It sounds really bad. Is there some alternative?" "How will I cope?"
  • Anxiety - "Will my treatments be really effective?"
  • Suspense about test results – "When will the bad news come to an end?"
  • Family and Work Concerns - "How is this affecting my family?" "Will I lose my job?"

Speak to your doctors as well as other patients who have gone through this experience to get the answers and support you need. Find a local support group.

Next Slide - Your Emotions After Treatment

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Emotions After Your Treatment for Breast Cancer

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Your Emotions After Breast Cancer Treatment

When your primary treatment ends, you shake hands with your oncologist and wave goodbye to your nurses. What happens next? You may still be taking hormone therapy and going for follow-up visits, but how are you feeling now? Survivorship has its own collection of emotions, which you can get help with. Good communication with your health care team can help you move forward.

Name Your Emotions - Examples

  • Fear of Recurrence - "Will my cancer return?" "Will it spread?"  "Is that pain I'm feeling just a pulled muscle, or could it be my cancer has returned - is it my old enemy, breast cancer?"
  • Feeling Vulnerable - "I'm done with treatment. How do I guard my health?"
  • Fear of Continued Pain - "My chest is sore."  "I'm exhausted."  "Will I ever feel normal again?"
  • Fear of Death - "My family needs me. I'm not prepared for this."

Express Yourself

At this point in your journey you may have thoughts of doing bad things to the next person who says to you , "all you need to survive cancer is a positive attitude."  Yes, staying positive with cancer can make you feel better, but it's very important to express your negative emotions.  Find a nonjudgmental friend you can share these less-than-positive thoughts with and vent.

More About Depression and Breast Cancer

A National Academy of Sciences study found that depression is common in breast cancer patients, and it usually develops in the first three months after diagnosis. They recommend that if you are experiencing symptoms of depression, you should get help as soon as possible. Let your health care team know that you're experiencing stress or sadness, so they can suggest counseling and perhaps medication. The study also found those who were depressed before diagnosis will need extra help to recover from it. There are many safe and constructive emotional outlets you can try. With support from other survivors, family, friends, and your doctor, you can get through your breast cancer journey more easily.

Sources:

American Cancer Society. Emotional aspects of breast cancer. Updated 01/15/16. http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-after-emotional-aspects

Psychosomatics (Journal) published by The Academy of Psychosomatic Medicine. Anxiety, Emotional Suppression, and Psychological Distress Before and After Breast Cancer Diagnosis. Published: February 2005.

On Death and Dying. Five Stages of Grief. Book by Elisabeth Kübler-Ross, Published: 1969.

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