An illness such as cancer can be one of the
most stressful events of a personís life. The stress of cancer and its
treatment is increased by family, work, and financial concerns, in
addition to everyday stress that was present before the cancer
Stress has not been shown to cause cancer; however, chronic stress
may weaken the immune system, causing other health problems and
decreasing feelings of well-being.
Tips for reducing stress
Some sources of stress (known as stressors) are predictable and can
often be avoided. Making small changes, such as planning your schedule
carefully and reducing your workload, can help lower the number of
stressors in your life. The following general tips can often help to
Avoid scheduling conflicts. Use a day planner or personal
digital assistant (PDA) to keep track of your appointments and
activities. When scheduling activities, allow plenty of time to finish
one activity before starting the next. Don't schedule too many
activities for the same day or week, especially activities that require
Be aware of your limits. Allow yourself to say "no" when
people ask you to take on tasks you don't have time or energy to
complete. At work, don't volunteer for projects that you don't have
time to work on. Cancer and treatment may leave you feeling fatigued, and you may need to take on fewer tasks if your energy level is low.
Ask for help. Ask family, friends, and coworkers for help.
People are likely to offer their help, so think about what you need in
advance, such as help with shopping or picking up a child from school.
Prioritize your tasks. Make a list of the things you have to
do (including work, chores, etc.) and rank them in order of importance,
considering both things you must do and things that are important to
you. If you don't have time to do everything, concentrate on the tasks
and activities at the top of your list.
Break down tasks into smaller steps. Break large tasks or
problems into smaller steps and approach the steps one at a time. This
process can make seemingly overwhelming problems easier to handle. For
example, instead of spending an afternoon cleaning your house, tackle
one or two rooms each day.
Concentrate your efforts on things you can control. For
instance, the doctorís schedule and traffic are out of your control,
even with the best planning. People who can remain flexible keep their
stress low. Sometimes the only aspect of a problem you can control is
how you react to it.
Get help with financial problems. Ask an oncology social
worker or a financial adviser who is familiar with cancer for advice on
dealing with cancer-related insurance and financial matters. Do not
wait to seek financial help; late bills and debt can quickly become
overwhelming if not handled properly. Learn more about financial support resources.
Stress management strategies
While you can reduce your overall stress, it is not possible to
eliminate all the stress in your life. Stress management strategies
help you feel more relaxed and less anxious. The following list
includes suggestions of what you can do everyday to help reduce stress:
Get frequent, moderate exercise. Moderate exercise, such a
30-minute walk, swim, or bike ride, lowers stress when done daily or at
least several times a week. Talk with your doctor before starting an
exercise regimen. Learn more about physical activity and cancer.
Schedule social activities. Plan times to socialize with
family and friends. Having supportive friends and family is one of the
most significant ways to reduce stress.
Eat well and get plenty of sleep. Maintaining a healthy diet and getting enough rest will give you more energy to deal with daily stressors. Learn more about nutrition and cooking resources for people living with cancer and strategies for a better nightís sleep.
Join a support group. Support groups offer you the chance to
talk about your feelings and fears with others who share and understand
your experiences. You can also talk with a trusted friend, a counselor,
or a social worker. Learn more about support groups.
Schedule daily leisure time. Spend time doing an activity you find relaxing, such as reading a book, gardening, or listening to music.
Do things you enjoy. Eat at your favorite restaurant or watch
your favorite television show. Laughter reduces stress; see a funny
movie or read a humorous book. Learn more about coping with cancer through humor.
Write in a journal. Writing about the stresses and events in your life provides a private way to express your feelings. Learn more about finding comfort through journaling.
Learn a new hobby. Engaging in a new and challenging activity
gives you a sense of accomplishment and provides distraction from daily
worries. Examples include enrolling in an art class or playing a
The following techniques may help you relax when feeling stressed.
These techniques must be learned and practiced to become effective.
Most can be learned in a few sessions with a counselor. Many hospitals
and cancer centers have classes to teach patients relaxation
techniques. Some of these techniques can be learned by following
written directions. These techniques can be done daily, as well as at
specific stressful times, such as during a medical procedure.
Relaxed or deep breathing. A technique that involves deep, slow breathing while concentrating on filling the lungs and relaxing muscles.
Mental imagery or visualization. A technique for creating peaceful and relaxing images in the mind.
Progressive muscle relaxation. A technique that involves
tightening and then relaxing muscles, starting at either the toes or
the head and progressively relaxing all the muscles either up or down
Meditation. A technique in which you learn to relax your mind and concentrate on an inner sense of calm.
Biofeedback. A technique in which you are taught to relax and
control your body's response to stress by paying attention to signals
from the body.