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Cancer Anxiety: What You Need To Know
Understanding Anxiety in Cancer
Anxiety is common in cancer patients. It's a feeling of worry or fear. It can be mild or severe. Mild anxiety may cause you to feel restless, while severe anxiety can make it hard for you to function.
In cancer patients, anxiety might stem from various sources. Fear of death, worry about treatment side effects, financial stress - all these factors contribute to anxiety levels. Anxiety might not always be related directly to the disease or its treatment; personal and social life changes due to having cancer may also lead patients towards this state.
Symptoms of Anxiety
Patients suffering from anxiety often show symptoms like excessive worrying, difficulty sleeping, irritability or restlessness. Physical signs include rapid heart rate and sweating excessively without physical exertion.
Addressing anxiety in cancer patients is crucial as it can impact their overall health status and quality of life. Regular communication with healthcare providers helps manage these feelings better. Understanding one’s condition goes a long way toward coping with associated anxieties; self-education through credible resources should be encouraged by medical practitioners for this purpose.
Causes of Anxiety Symptoms
Several factors contribute to anxiety symptoms. First, genetics play a crucial role. If family members have anxiety disorders, you might be more prone too. This doesn't mean it is inevitable, but the probability increases.
Next on the list is brain chemistry. Imbalances in neurotransmitters or faulty circuits in your brain can lead to anxiety symptoms.
Life experiences also matter significantly. Experiences like trauma or significant stressful events can trigger these symptoms later in life.
Lastly, medical factors are not to be overlooked either. Certain physical health conditions can cause or worsen anxiety symptoms. These include heart disease, diabetes, thyroid problems etc.
To conclude, various causes from genetics to life history can result in anxiety symptoms manifesting differently for everyone.
Acute vs Chronic Anxiety
Anxiety is a normal response to stress. However, when it becomes frequent and intense, it may be a sign of an anxiety disorder. Anxiety disorders fall into two main categories: acute and chronic.
Acute anxiety is temporary. It's often triggered by a specific situation or event such as giving a speech or taking an exam. Symptoms come on suddenly and can be quite severe, but they usually subside once the triggering event has passed.
On the other hand, chronic anxiety, also known as generalized anxiety disorder (GAD), persists for months or even years. Its symptoms are less severe than those of acute anxiety but more constant. People with GAD feel anxious most days about a range of issues, not just one specific thing.
In both cases, treatment can help manage symptoms effectively. Cognitive-behavioral therapy (CBT) provides tools to change thinking patterns that lead to fear and anxiety. Medications can also play a role in treatment decisions based on individual needs.
Risk Factors for Anxiety
Anxiety disorders stem from a complex set of risk factors. These include genetics, brain chemistry, personality traits, and life events.
Genetics play a key role in anxiety development. If your parents or siblings have it, you're more likely to develop it too.
Your brain chemistry also affects anxiety risk. Certain neurotransmitters are linked with anxiety. Their imbalance can trigger symptoms.
Personality traits factor into the equation too. For instance, shy or withdrawn individuals often report higher levels of anxiety.
Lastly, specific life events, such as trauma or significant stressors (e.g., financial problems), may contribute to the onset of an anxiety disorder.
It's important not to self-diagnose based on these risk factors alone. Consult your healthcare provider for any concerns about developing an anxiety disorder.
Screening for Cancer-related Anxiety
Cancer-related anxiety is common. It's a natural response to the fear and uncertainty of cancer diagnosis, treatment, and prognosis. Early detection of this anxiety is crucial for timely intervention.
Screening involves simple questionnaires. You answer questions on your feelings, thoughts, and behaviors related to your cancer experience. These instruments are validated by research for their accuracy in detecting symptoms of anxiety.
Examples include the Hospital Anxiety and Depression Scale (HADS) orGeneralized Anxiety Disorder 7-item scale (GAD-7). The HADS measures levels of both depression and anxiety with seven items each respectively while GAD-7 helps diagnose generalized anxiety disorder by asking about frequency of specific symptoms over the past two weeks.
During regular check-ups, healthcare providers should screen you for signs of distress including anxiety using these tools. However, feel free to initiate conversations about your emotional health at any point in time during your cancer journey.
Remember: it's okay not feeling okay sometimes but prolonged periods may indicate underlying issues that need addressing immediately.
Treatment Options for Anxiety
Anxiety disorders are common. They affect many people. Treatment is important for a good quality of life.
Psychotherapy This involves talking to a mental health professional. It helps you understand and manage your disorder. There's Cognitive Behavioral Therapy (CBT). CBT helps change negative thinking patterns. You learn coping strategies too.
Medication Doctors may prescribe medication for anxiety disorders. Selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines are examples. SSRIs increase the levels of serotonin in your brain, improving mood and reducing anxiety symptoms. Benzodiazepines have a calming effect, helping reduce symptoms quickly during acute episodes.
Lifestyle Changes
Healthy habits can help manage anxiety symptoms as well:
- Regular physical exercise
- Balanced diet
- Adequate sleep
- Limiting caffeine intake
Also consider joining support groups or practicing mindfulness techniques like meditation or yoga.
Remember: Each person responds differently to treatment options. What works best varies from person to person. Discuss with your healthcare provider before starting any new treatment plan.
Managing Post-cancer anxiety
Post-cancer anxiety is common. It's normal to worry about cancer returning after treatment ends. This fear can be overwhelming and affect daily life.
Identify your feelings. Acknowledge that you are feeling anxious or scared. It’s a natural response to what you’ve been through.
Exercise regularly. It helps reduce anxiety and improve mood. Walking, cycling, yoga – choose what you enjoy most.
Talk to someone who understands: medical professionals, support groups, or loved ones who've had similar experiences. You do not have to face this alone.
Mindfulness techniques such as meditation can also help manage post-cancer anxiety by focusing on the present moment rather than worrying about the future.
Remember that managing post-cancer anxiety takes time and patience with yourself; it's okay if progress seems slow at times.
Refrences
- Stiefel, F., & Razavi, D. (1994, July). Common psychiatric disorders in cancer patients. Supportive Care in Cancer. Springer Science and Business Media LLC.http://doi.org/10.1007/bf00365727
- Penninx, B. W., Pine, D. S., Holmes, E. A., & Reif, A. (2021, March). Anxiety disorders. The Lancet. Elsevier BV.http://doi.org/10.1016/s0140-6736(21)00359-7
- Rynn, M. A., & Brawman-Mintzer, O. (2004, October). Generalized Anxiety Disorder: Acute and Chronic Treatment. CNS Spectrums. Cambridge University Press (CUP).http://doi.org/10.1017/s1092852900022367
- Narmandakh, A., Roest, A. M., de Jonge, P., & Oldehinkel, A. J. (2020, October 28). Psychosocial and biological risk factors of anxiety disorders in adolescents: a TRAILS report. European Child & Adolescent Psychiatry. Springer Science and Business Media LLC.http://doi.org/10.1007/s00787-020-01669-3
- Esser, P., Hartung, T. J., Friedrich, M., Johansen, C., Wittchen, H., Faller, H., … Mehnert, A. (2018, March 30). The <scp>Generalized Anxiety Disorder Screener (GAD‐7</scp>) and the anxiety module of the <scp>Hospital and Depression Scale (HADS‐A</scp>) as screening tools for generalized anxiety disorder among cancer patients. Psycho-Oncology. Wiley.http://doi.org/10.1002/pon.4681
- Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020). Cognitive Behavioral Therapy, Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders: Integrating Traditional with Digital Treatment Approaches. Advances in Experimental Medicine and Biology. Springer Singapore.http://doi.org/10.1007/978-981-32-9705-0_17