How effective is psycho-oncology counselling for anxiety and low mood with cancer?

A psycho-oncology counsellor can help you make sense of fear, uncertainty, treatment changes, body-image concerns, family strain and low mood. Sessions may use talking therapy, coping skills, relaxation, problem-solving and support with communication.

Counselling does not treat the cancer itself. It can sit alongside oncology care and may be adapted around fatigue, pain, appointments, language needs and cultural preferences. Some people benefit from brief support, while others need ongoing therapy or a review by a psychiatrist for medication or more complex symptoms.

Tell your oncology team what has changed: sleep, appetite, concentration, motivation, worries, or ability to manage daily tasks. Ask for a psycho-oncology referral and explain whether you prefer individual sessions, family involvement, in-person care or remote appointments.

Before the first session, note the situations that trigger distress and what has helped, even briefly. Agree on a practical goal such as sleeping more regularly, preparing for treatment discussions or handling scan-related worry.

Seek urgent help if you are thinking about harming yourself, feel unable to stay safe, become severely confused, or cannot manage basic needs. Contact local emergency services or a trusted person who can stay with you, and tell your cancer team as soon as possible.

Can I see a psycho-oncology counsellor? What kind of therapy fits my symptoms and treatment schedule? How will we review progress? Should my medicines, pain control or sleep support also be assessed?