Psychosocial Concerns

Psychosocial concerns can include anxiety / depression, fear of recurrence, relationship concerns, body image,
genetic risk, spirituality, and other specific issues. Some family practitioners may wish to use a quick screening tool
in their own evaluation to identify any concerns that emerge post treatment. In some cases, multiple vague physical
symptom complaints may be an indicator of poor post treatment psychological adjustment.

Recommendations:

  • Rule out underlying physical diagnosis
  • Treat anxiety / depression. For patients receiving Tamoxifen please keep in mind that many antidepressants can reduce the efficacy. Venlafaxine and citalopram are usually less likely to cause a problem
  • Non pharmacological resources can include referral to counselling or psychotherapy, relaxation training, cognitive behavioural therapy, supportive-expressive therapy, or psycho-educational interventions

Contacts:
London Regional Cancer Centre – Supportive Care Program
Assessment and referral to community resources, telephone: 519-685-8622

Community counselling Agencies and other resources:

Day Counselling 519-434-0077
Family Counselling Services 519-433-0183
Wellspring Support Groups 519-438-7379
Canadian Cancer Society Peer Support 1-888-939-3333

Check with patient to see if they have private counselling coverage through Employer Benefits.