The emotional side effects caused by a cancer diagnosis and chemotherapy are different for everyone. They may even change during your treatment. Before starting chemotherapy, many patients feel anxious about not knowing what to expect and their upcoming treatments. Many patients say they experience depression or emotional stress before and during chemotherapy. Emotional side effects can make it harder to do your day-to-day activities.

Some emotional side effects include

• anger
• fear or anxiety
• loss of self esteem
• sense of isolation
• depression
• insomnia

Feeling anger, fear, loss of self esteem, and isolation is normal. It is important to deal with such negative emotions so that you don't start to feel helpless or think that your fight against the cancer is not worth the effort. By participating in your care, you can regain control. Members of your healthcare team are there to help you.

Ways to help gain control

• Learn about treatments and find out about your options.
• Use available support services.
• Talk to someone who has been through chemotherapy.
• Share your feelings with others.
• Keep a journal.
• Use complementary therapies* (ex., meditation, music therapy, art therapy).
• Explore methods of spiritual healing or faith.
• Exercise if you can.
• Do things you enjoy.

*Consult your doctor before using any complementary therapies.

How you respond emotionally to treatment can depend on many things. Some people may find they are more emotional when beginning treatment, while others experience these feelings toward the end of treatment. How your doctor delivered the news about your cancer diagnosis and your treatment options can affect how you feel as you embark on your chemotherapy journey. Getting the support you need can help you become better able to manage your emotional well being.