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Medications are usually the way to go. This is a biological problem, that is caused by a molecule produced by the cancer.
Ask the oncologist if he can recommend who you should see to have this addressed. I didn't wait for my Mom's doctor to volunteer to help (he asked no questions about mood). I just scheduled an appointment with the psychiatrist. Her primary care doctor would have prescribed something as well, but he preferred input from the psychiatrist.
There is often a psychiatrist that works with oncologists at major cancer centers. They can be great, and can help a lot by prescribing meds, and checking in occasionally. They will also overlap with help with sleep, energy, and sometimes pain.
Some cancer centers have Palliative Care doctors, who not only can help with depression/anxiety, but are also experts in treating pain, appetite, sleep, nausea/constipation and more. If you feel the oncologist is not adequately treating these 'Quality of Life' symptoms, ask if there is Palliative Care doctors that will work with patients who are still on active treatment.
You are absolutely right that if you are depressed/anxious, it will make all symptoms worse. It gives you less energy, more pain, worse sleep, decreased appetite and it just feels bad. It's a no brainer that it needs to be treated.
Studies have shown that treating these quality of life symptoms contribute not only to feeling happier day to day, but you do better with chemo and you LIVE LONGER.
If only the oncologists would read these studies.
So we all must remind them.
If we are going to fight this..... we have TO LIVE. Or what's the point?
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