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Psychological Impact of Living with Peritoneal Tumours Anne Crook Counsellor / Psychotherapist Michele Angelo Petrone Psycho-oncology The Christie NHS Foundation Trust The Christie NHS Foundation Trust Impact of cancer and treatment Living with the challenges • • • • • Physical Mental Vulnerability Loss of control Future The Christie NHS Foundation Trust Sense of self The Christie NHS Foundation Trust 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 The Christie NHS Foundation Trust What is Anxiety? • Excessive worry, fear, dread • Restlessness • Physical symptoms: • • • • • Fast heartbeat Shortness of breath Muscle tension Light headed Nausea, butterflies in stomach • Difficulty sleeping, concentrating, decisionmaking The Christie NHS Foundation Trust Living with Uncertainty • Inevitable • Fuels anxiety & fear • Irritable, angry, frustrated • Worry • Difficult to make plans The Christie NHS Foundation Trust Coping with worry • Talk to someone • Do something else • Write it out • Mindfulness • Counselling / CBT • Problem solve The Christie NHS Foundation Trust What is Depression? • • • • • • Low mood on most days Loss of interest / enjoyment Increasing irritability Easily moved to tears Feeling slowed down Thinking life not worth living The Christie NHS Foundation Trust When should I seek help? When day to day activities are affected by these symptoms or experiences The Christie NHS Foundation Trust Support from others The Christie NHS Foundation Trust 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 The Christie NHS Foundation Trust It helps to … • • • • • • • Talk Ask Be physically active Make plans, set goals Problem solve Be kind to yourself Give yourself time The Christie NHS Foundation Trust Who am I now? • What have I learnt from this? • What do I want for myself now? • Opportunity? The Christie NHS Foundation Trust You may not control all the events that happen to you, but you can decide not to be reduced by them. Maya Angelou The Christie NHS Foundation Trust Questions? The Christie NHS Foundation Trust