What to expect from psycho-oncology counselling

A counsellor may ask how cancer is affecting sleep, appetite, relationships, treatment decisions and daily routines. You can explore fear of progression, scan-related worry, changes in your body, loss of independence or family strain. Sessions may include emotional support, problem-solving, breathing or grounding exercises, and help communicating with your care team.

Before a session, note the moments when distress is strongest and any changes in sleep, concentration or motivation. Bring a list of medicines and questions about side effects if they affect your mood. You can attend alone or ask whether a trusted family member may join. Tell the counsellor what kind of support feels useful; counselling can be adjusted to your pace and goals.

Tell your oncology team promptly if low mood is making it hard to eat, sleep, take medicines or attend treatment. Seek urgent help if you are thinking about harming yourself, feel unable to stay safe, or are experiencing severe confusion or agitation. Contact local emergency services or a trusted person while arranging professional support.

Ask who can refer you, whether counselling is available in your preferred language, how confidentiality works, and whether a psychiatrist, medication review or another mental-health service should be involved.