Transcript Psychological impact of living with peritoneal tumours

Psychological
Impact of
Living with
Peritoneal
Tumours
Anne Crook
Counsellor / Psychotherapist
Michele Angelo Petrone
Psycho-oncology
The Christie NHS Foundation Trust
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Impact of cancer and treatment
Living with the challenges
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Physical
Mental
Vulnerability
Loss of control
Future
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Sense of self
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Adjustment is a process
Distress Continuum
SELF CARE & SOCIAL
SUPPORT
HEALTHY
Normal
functioning
REACTING
Adjustment
process
PROFESSIONAL CARE
INJURED
Impaired
functioning
ILL
Clinical
disorder
Anxiety
• Normal
• Protective
• Threat focused
Fight or Flight
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What is Anxiety?
• Excessive worry, fear, dread
• Restlessness
• Physical symptoms:
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Fast heartbeat
Shortness of breath
Muscle tension
Light headed
Nausea, butterflies in stomach
• Difficulty sleeping, concentrating, decisionmaking
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Living with Uncertainty
• Inevitable
• Fuels anxiety & fear
• Irritable, angry, frustrated
• Worry
• Difficult to make plans
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Coping with worry
• Talk to someone
• Do something else
• Write it out
• Mindfulness
• Counselling / CBT
• Problem solve
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What is Depression?
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Low mood on most days
Loss of interest / enjoyment
Increasing irritability
Easily moved to tears
Feeling slowed down
Thinking life not worth living
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When should I seek help?
When day to day
activities are
affected by these
symptoms or
experiences
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Support from others
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Impact on relationships
1 out of 3 - strain on relationships
4 out of 10 - sex life suffered
Macmillan (2006)
The cancer survivor's
companion. Practical
ways to cope with
your feelings after
cancer
Frances Goodhart, Lucy
Atkins
2013, Piatkus
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It helps to …
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Talk
Ask
Be physically active
Make plans, set goals
Problem solve
Be kind to yourself
Give yourself time
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Who am I now?
• What have I learnt
from this?
• What do I want for
myself now?
• Opportunity?
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You may not
control all the
events that
happen to you,
but you can
decide not to be
reduced by
them.
Maya Angelou
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Questions?
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