Psychosocial Concerns

Psychosocial Concerns may include anxiety / depression, fear of recurrence, relationship concerns, body image, genetic risk, spirituality and other specific issues. Some family practitioners may wish to use a quick screening tool to identify any concerns that emerge post treatment. In some cases, multiple vague physical symptom complaints may be an indicator of poor post-treatment psychological adjustment.

Recommendations:

  • Rule out underlying physical diagnosis
  • Treat anxiety or depression
  • Antidepressants such as citalopram and escitalopram have the potential to interact with 5HT3 antiemetics like granisetron and ondansetron and cause a prolongation of the QT interval. This is relevant for patients on chemotherapy
  • ‹‹Non pharmacological resources include referral to counselling or psychotherapy, relaxation training, cognitive behavioural therapy, supportive-expressive therapy, or psycho-educational interventions

Contacts:

London Regional Cancer Program – Supportive Care Program

Assessment and referral to community resources: 519 685-8622

Community counselling agencies and other resources:

Day Counselling 519 434-0077

Wellspring Support Network 519 438-7379

Family Counselling Services 519 433-0183

Canadian Cancer Society Peer Support 1-888-939-3333

 

More information about psychosocial support:

http://www.colorectal-cancer.ca/en/find-support/living-with-cancer/