Heal the Whole

Cancer patients & survivors can feel better and live longer using

powerful strategies. As a brain tumor survivor since 1998, explore

education and how I help as a Cancer Coach, consultant & speaker.

Heal the Whole

Cancer patients & survivors can feel better and live longer using powerful strategies. As a brain tumor survivor since 1998, explore education and how I help as a Cancer Coach, consultant & speaker.

Post-traumatic Stress Disorder and Post-traumatic Growth for Cancer Patients and Caregivers

By Jeannine Walston

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Cancer patients and also cancer caregivers report experiencing emotions and mental states with many highs and lows, including post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG).

What is post-traumatic stress disorder (PTSD)?

Post-traumatic stress disorder (PTSD) is a term for an anxiety disorder that can develop after a person experiences severe trauma, such as the diagnosis of a life-threatening illness like cancer. Symptoms of PTSD may include persistent feelings of fear, helplessness, or horror; reliving the traumatic event; avoiding reminders associated with the trauma; and heightened stress responses lasting for at least one month. Research indicates that over 20 percent of cancer patients experience PTSD. Recognizing the signs and addressing specific needs can support better coping. If you think you might have PTSD, consider reaching out to a mental health professional for guidance and support.
 
The National Academy of Medicine (formerly the Institute of Medicine ) published Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs, which provides a comprehensive overview of the emotional, psychological, and social needs of cancer patients. This resource highlights the importance of addressing psychosocial health alongside medical treatment, emphasizing that mental health support can improve quality of life and treatment outcomes for those affected by cancer.

“Physically, cancer and cancer treatments are tremendously challenging, often requiring a combination of debilitating treatments that can continue for months or years. But effects on mental health are also common, with depression and anxiety disorders frequently reported. In fact, recent studies have shown that cancer patients and the parents of young children with cancer sometimes meet the textbook criteria for post-traumatic stress disorder (PTSD). These mental states can cause harmful health effects of their own, compounding the challenges of treatment and disease in a damaging, downward spiral. Patients suffering from depression, anxiety, or excessive stress can have difficulty remembering things, concentrating, and making decisions. These mental health problems can also decrease patients’ motivation to complete treatment, change unhealthy practices such as smoking, and decrease their ability to cope with the demands of a rigorous treatment process. There is growing evidence that stress can directly interfere with the working of the body’s immune system and other functions.”

Research has shown that psychological distress—including persistent depression and anxiety—can contribute to a higher risk of developing cancer and may negatively impact survival rates. However, by adopting effective coping strategies and seeking support, individuals can transform emotional pain into resilience, personal growth, and a healthier mindset.

What is post-traumatic growth (PTG)?

Post-traumatic growth (PTG) refers to the positive psychological changes that can result from struggling with highly challenging life circumstances, and is often described as the opposite extreme of PTSD. For some cancer patients and caregivers, the cancer experience prompts a deep re-examination of beliefs, attitudes, life goals, and relationships. While the re-evaluation process may begin as a response to trauma, it can ultimately lead to meaningful and healthy changes. Cancer can serve as a powerful catalyst for personal transformation. Research suggests that some cancer survivors and their loved ones who endure trauma can experience growth in specific areas, such as a greater appreciation for life, enhanced personal strength, spiritual development, and improved relationships with others.

How might suffering and wounding be transformed into strength and healing?

“The healing of our present woundedness may lie in recognizing and reclaiming the capacity we have to heal each other, the enormous power in the simplest of human relationships: the strength of a touch, the blessing of forgiveness, the grace of someone else taking you just as you are and finding in you an unsuspected goodness. Everyone alive has suffered. It is the wisdom gained from our wounds and from our own experiences of suffering that makes us able to heal. Becoming an expert has turned out to be less important than remembering and trusting the wholeness in me and everyone else. Expertise cures, but wounded people can best be healed by other wounded people. Only other wounded people can understand what is needed, for the healing of suffering is compassion, not expertise.”
– Rachel Naomi Remen, MD

How might extreme life challenges impact individuals as well as societies?

It is truly remarkable that individuals have the power to change themselves and influence the world around them. Transformation can take many forms, often emerging as people search for meaning and adopt new strategies to resilience with positive change.

“Throughout history humans striving to transform adversity into strength consistently possess a sense of moral commitment, a sense that personal and group trauma must be converted into a community asset, not just a personal asset or catastrophe. From such traumatic origins springs the co-construction or reconstruction of civilization.”
– Sandra L. Bloom, MD, Posttraumatic Growth: Positive Changes in the Aftermath of Crisis

What support is available for PTSD and/or PTG?

Education, tools, and techniques to deal with PTSD and engage PTG are available at Body, Mind, Spirit, Social, Environmental

 

I would like to express my appreciation to Dr. Tzipi Weiss, DSW, LCSW, whom I met by chance at an event over 25 years ago, sitting next to her. Without saying anything, she told me about Posttraumatic Growth, which impacted me profoundly in my mindset and cancer journey.