Expert Pitch
Cedars-Sinai

Expert Q&A: Cancer, COVID-19 and Mental Health

8-Apr-2020 9:00 AM EDT, by Cedars-Sinai contact patient services

LOS ANGELES (April 8, 2020) -- Cancer patients and survivors had a lot to deal with before the COVID-19 pandemic began. Now, the stress of coping with a chronic condition and the threat of catching the infectious respiratory illness is creating additional anxiety for patients handling both.

Psychiatrist Scott Irwin, MD, PhD, director of the Patient and Family Support Program at Cedars-Sinai Cancer and professor of Psychiatry and Behavioral Neurosciences, addresses the top mental health concerns of cancer patients and survivors and offers advice about how to handle them.

Q: What are the mental health needs of cancer patients during normal times – when there is no global health crisis?

A: Cancer patients often feel anxious about their future, how their treatments will impact their lives, therapy side effects, and they worry that their cancer will return or get worse. Depression, insomnia and psychological symptoms from cancer or its treatments also are common.

Q: What are cancer patients dealing with now, with the additional stress of COVID-19?

A: Many patients are dealing with increased anxiety. Also, many cancer patients are older and/or have compromised immune systems, so they are at higher risk for negative outcomes of the new virus. They're worried about leaving home and possibly exposing themselves to COVID-19 and other infections. Additionally, some patients already suffer from depression, which may now be intensified as their sense of hopelessness possibly worsens.

Q: Should cancer patients skip their psychotherapy treatments to avoid exposure to COVID-19 at medical centers?

A: No. It's even more important now to continue mental health treatment during this anxiety-producing time. Chronic stress can affect your body, thoughts and feelings. It can trigger inflammation in the body, causing insomnia, fatigue, headaches and depression. It also can cause irritability, lack of motivation and feelings of being overwhelmed. Most patients, however, can continue treatment via telemedicine from the comfort and protection of home.

Q: What advice do you have for cancer patients who are feeling anxious or worried in the current health crisis?

A: One of the easiest ways they can reduce stress and anxiety is to limit exposure to things that trigger anxiety. Staying informed is important, but it's also important to set boundaries for how much news you consume about the COVID-19 pandemic. Also:

  • Get health information about COVID-19 from reliable sources, beginning with your oncologist. Cedars-Sinai has compiled information specifically for cancer patients. Also, the World Health Organization and the Centers for Disease Control and Prevention are great resources that update their information regularly, along with the Los Angeles County Department of Public Health. Remember to limit check-ins and discussions with others to one or two times a day to avoid ramping up your anxiety.
  • Do a reality check: How do your anxious thoughts differ from information provided by experts?
  • Practice relaxation techniques, such as deep breathing, meditation, yoga or tai chi.
  • Talk to others – mental health professionals, family or friends – about your feelings and worrisome thoughts. Keeping those feelings inside can lead to more serious physical and mental health consequences.
  • Eat healthfully. Get advice from a nutritionist about which foods are best for you.
  • Exercise. People being treated for cancer often reduce their activity levels, which can intensify anxiety and depression. The more you walk around, even at home, the better. Check with your physician before engaging in more rigorous activities. It is better to exercise to feel better than to wait to feel better to exercise.
  • Get a good night's sleep. Seek help if you are having trouble sleeping.
  • Practice good hand hygiene and keep your distance from others: Wash your hands frequently, avoid touching items people may have touched and wear a mask in public.
  • Use social media to maintain a sense of connection even though you're not seeing each other in person. For example, share meals, celebrate special occasions, play cards and board games together and read books to grandkids via videoconferencing.

Q: What can family members, friends and caregivers do to help ease cancer patients' anxiety and depression during the COVID-19 crisis?

A: Be sensitive to their needs and wants. Ask them what help they need and are comfortable with. Don't assume they want or need the help you're offering or any help. Cancer patients may not want people calling or coming over. On the other hand, they may need extra help with feelings of anxiety and isolation or getting food and supplies during this current health crisis. Try not to add to their stress and anxiety by sharing your own anxieties with them.

Q: Are the mental health needs of patients with chronic conditions such as heart disease, hypertension and diabetes similar to those of cancer patients?

A: Yes, with an exception: Many patients with chronic diseases other than cancer may not be facing imminent mortality in the same way some cancer patients are. They also may not have illnesses that leave them immune-compromised. However, they do have underlying medical conditions that put them in the same higher-risk category as cancer patients, and all of us have heightened worries and concerns during this trying time.

Q: What mental health services are available at Cedars-Sinai Cancer?

A: The Cedars-Sinai Cancer Patient and Family Support team is here to help patients navigate these stressful times. We have three psychiatrists, four palliative medicine doctors, four dietitians, 11 social workers, a rehabilitation specialist and two chaplains across our four cancer care sites. Patients getting care at any of our outpatient cancer locations may access these services. Staff is available daily from every discipline to support our patients. Patients can visit these experts in person – if they're already at the medical center for cancer treatments – or by phone or video. Most of our patients already are taking advantage of these remote-care options.

Additionally, the program offers a comprehensive array of classes and groups through our Wellness, Resilience and Survivorship Programs, many of which patients can now access remotely. They include Cancer Exercise Recovery, Gentle Yoga for Wellness, and Emerging from the Haze programs, among others.

Q: What mental health resources are available for cancer patients outside of Cedars-Sinai? 

A: Support is available from the National Cancer Institute, the American Cancer Society, Cancer.Net and the Cancer Support Community, among others.

Read more on the Cedars-Sinai Blog: Depression: Know the Signs




Filters close

Showing results

110 of 2526
Released: 10-Jul-2020 12:35 PM EDT
Our itch to share helps spread COVID-19 misinformation
Massachusetts Institute of Technology (MIT)

To stay current about the Covid-19 pandemic, people need to process health information when they read the news. Inevitably, that means people will be exposed to health misinformation, too, in the form of false content, often found online, about the illness.

Newswise: Pandemic Inspires Framework for Enhanced Care in Nursing Homes
Released: 10-Jul-2020 12:25 PM EDT
Pandemic Inspires Framework for Enhanced Care in Nursing Homes
University of Pennsylvania School of Nursing

As of May 2020, nursing home residents account for a staggering one-third of the more than 80,000 deaths due to COVID-19 in the U.S. This pandemic has resulted in unprecedented threats—like reduced access to resources needed to contain and eliminate the spread of the virus—to achieving and sustaining care quality even in the best nursing homes. Active engagement of nursing home leaders in developing solutions responsive to the unprecedented threats to quality standards of care delivery is required.

Newswise: General Electric Healthcare Chooses UH to Clinically 
Evaluate First-of-its-kind Imaging System
Released: 10-Jul-2020 12:15 PM EDT
General Electric Healthcare Chooses UH to Clinically Evaluate First-of-its-kind Imaging System
University Hospitals Cleveland Medical Center

University Hospitals Cleveland Medical Center physicians completed evaluation for the GE Healthcare Critical Care Suite, and the technology is now in daily clinical practice – flagging between seven to 15 collapsed lungs per day within the hospital. No one on the team could have predicted the onset of the COVID-19 pandemic, but this technology and future research with GEHC may enhance the capability to improve care for COVID-19 patients in the ICU. Critical Care Suite is now assisting in COVID and non-COVID patient care as the AMX 240 travels to intensive care units within the hospital.

Released: 10-Jul-2020 11:50 AM EDT
COVID-19 Can Be Transmitted in the Womb, Reports Pediatric Infectious Disease Journal
Wolters Kluwer Health: Lippincott Williams and Wilkins

A baby girl in Texas – born prematurely to a mother with COVID-19 – is the strongest evidence to date that intrauterine (in the womb) transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can occur, reports The Pediatric Infectious Disease Journal, the official journal of The European Society for Paediatric Infectious Diseases. The journal is published in the Lippincott portfolio by Wolters Kluwer.

Released: 10-Jul-2020 9:45 AM EDT
How COVID-19 Shifted Inpatient Imaging Utilization
Harvey L. Neiman Health Policy Institute

As medical resources shifted away from elective and non-urgent procedures toward emergent and critical care of COVID-19 patients, departments were forced to reconfigure their personnel and resources. In particular, many Radiology practices rescheduled non-urgent and routine imaging according to recommendations from the American College of Radiology (ACR). This new Harvey L. Neiman Health Policy Institute study, published online in the Journal of American College of Radiology (JACR), evaluates the change in the inpatient imaging volumes and composition mix during the COVID-19 pandemic within a large healthcare system.

access_time Embargo lifts in 2 days
Embargo will expire: 12-Jul-2020 7:00 PM EDT Released to reporters: 10-Jul-2020 9:00 AM EDT

A reporter's PressPass is required to access this story until the embargo expires on 12-Jul-2020 7:00 PM EDT The Newswise PressPass gives verified journalists access to embargoed stories. Please log in to complete a presspass application. If you have not yet registered, please Register. When you fill out the registration form, please identify yourself as a reporter in order to advance to the presspass application form.

Released: 10-Jul-2020 9:00 AM EDT
Team is first in Texas to investigate convalescent plasma for prevention of COVID-19 onset and progression
University of Texas Health Science Center at Houston

A research team is the first in Texas to investigate whether plasma from COVID-19 survivors can be used in outpatient settings to prevent the onset and progression of the virus in two new clinical trials at UTHealth.

Newswise: Commentary in Pediatrics: Children Don’t Transmit Covid-19, Schools Should Reopen in Fall
7-Jul-2020 3:00 PM EDT
Commentary in Pediatrics: Children Don’t Transmit Covid-19, Schools Should Reopen in Fall
University of Vermont

Based on one new and three recent studies, the authors of this commentary in Pediatrics conclude that children rarely transmit Covid-19, either among themselves or to adults. The authors recommend that schools reopen in the fall, since staying home can adversely affects children's development.


Showing results

110 of 2526

close
0.96689