Psycho-oncology

About this approach

Psycho-oncology addresses the psychological and emotional effects of cancer on patients and, in many services, relatives. A clinician may help with persistent anxiety, depression, fear of recurrence, adjustment to treatment or difficult decisions. Care can involve psychological therapy, coping strategies and, when appropriate, medication coordinated with the medical team. Its purpose is to reduce distress and improve everyday functioning. Needing this support does not mean someone caused their cancer or is responding to illness in the wrong way.

Where it fits: Specialist mental-health assessment and treatment in cancer care

Where this treatment is used

Psychological treatment and appropriate medication are established options for clinically significant anxiety and depression in people with cancer. Assessment matters because distress ranges from understandable short-lived worry to conditions requiring specialist treatment, and physical illness or medicines can contribute to similar symptoms. Psycho-oncology may include approaches such as cognitive behavioral therapy, problem-solving or supportive therapy, selected for the person’s needs. It can also help patients communicate preferences and cope with uncertainty. The service should explain the clinician’s qualifications, confidentiality and how care is coordinated with oncology.

Procedure and practical considerations

Discussing difficult experiences may temporarily increase emotion, and the therapeutic approach should be reviewed if it feels unhelpful or overwhelming. Psychiatric medicines can have side effects and interactions with cancer treatments, so prescribing teams need to coordinate. Thoughts of self-harm, inability to stay safe or an acute mental-health crisis require immediate help through local emergency or crisis services.

Clinics reporting this approach

These clinic profiles mention this approach in their published materials. Open a profile to compare locations, services, practical details, and ways to get started.