Cancer and the Psycho-Oncologist: Psychosocial Well-Being of Cancer Survivors

Adjusting to the diagnosis and treatment of cancer is a complex process which evolves over time, and individuals, their family members and health professionals may have diverse opinions about what constitutes the status of survivor. Whilst significant psychiatric disorder is not the norm, many of those diagnosed with cancer experience a degree of psychological distress and changes in their attitudes, beliefs and worldview as they negotiate a new and different life compared with before cancer.

This chapter describes the process of adjustment, factors which affect adjustment, and provides practical suggestions for health professionals to assist them in exploring the specific concerns of their patients. Information is provided about simple interventions which can be delivered in routine clinical care by non-specialist providers, as well as details about risk factors for the development of psychiatric disorder. Practical suggestions about facilitating referral for specialist psychosocial treatment are also provided.