Beyond the physical battle, cancer survival is a journey characterized by uncertainty, fear, and emotional turmoil. The psychological scars frequently remain even after a successful course of therapy, and many people who have survived continue to live in fear of a relapse for years.

"Stress during this time is natural and valid," stated Dr. Karishma Kirti, a consultant breast specialist and oncoplastic surgeon. Unmanaged stress, however, can impair judgment, recovery, and general well-being. Fortunately, there are a number of evidence-based resources that can help patients better manage stress and regain a feeling of control over their path.

Some strategies for dealing with stress during cancer diagnosis and therapy were discussed by Dr. Karishma Kirti:

1. Express your emotions, in your own way

Whether through conversation, journaling, or quiet reflection, expressing your feelings can help you process them. You don’t have to be positive all the time, and you certainly don’t have to suppress sadness or frustration. Giving yourself permission to feel what you’re feeling is, in itself, a form of healing.

2. Don’t shoulder blame

Many patients ask if they did something wrong. The truth is, no one fully understands why one person gets cancer and another doesn’t. What’s most important now is how you care for yourself moving forward with kindness, not blame.

3. Take ownership over when (and whether) to talk

You’re in control of how, when, and with whom you discuss your diagnosis. If you're not ready to talk, that’s perfectly fine. If you are, gently guiding your loved ones on how to support you can make conversations more comfortable for everyone.

4. Practice mind–body techniques

Relaxation methods such as guided imagery, deep breathing, progressive muscle relaxation, or mindfulness meditation can reduce anxiety and improve sleep. Even a short daily practice can help calm the body’s stress response and center the mind. 

5. Stay as active as you can

Physical movement, even gentle stretching or a short walk can help reduce fatigue, boost mood, and provide a healthy distraction. Activities like yoga and tai chi combine movement with mindfulness and are often well-suited for recovery.

6. Reconnect with activities that bring you joy

Hobbies can offer a mental break from illness. Whether it’s reading, music, photography, painting, or crafts, engaging in something creative or calming helps shift focus and lifts the spirit.

7. Manage side effects proactively

Physical symptoms such as fatigue, pain, or nausea can impact emotional health. Addressing them early with your medical team can significantly reduce distress. When your body feels better, your mind often follows.

8. Build a routine and sense of control

Creating a simple daily routine, making lifestyle adjustments, and being active in medical decisions can restore a sense of order during an otherwise uncertain time. Focus on what you can influence, whether it’s your appointments, your meals, or your mindset.

9. Consider complementary therapies

Complementary approaches like acupuncture, gentle massage, aromatherapy, and music or art therapy can help reduce stress, ease treatment side effects, and enhance emotional wellbeing. When used alongside medical care, and with your doctor’s guidance, these therapies offer safe, supportive relief for many patients. 

10. Seek support, professionally and personally

Psycho-oncologists, mental health professionals trained in cancer care, are a valuable part of comprehensive treatment. Support groups and counsellors can offer space to speak freely, share strategies, and feel less alone.

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