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Mental Health and psychosocial support with myeloma

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A diagnosis of myeloma often triggers a complex range of intense emotions immediately upon discovery, with shock being the most common initial reaction due to the unexpected nature of receiving a cancer diagnosis. This distressing period can also encompass feelings such as anger, disbelief, sadness, and grief, alongside a persistent fear regarding survival that affects not only patients but their caregivers as well. While these powerful emotional responses are part of the natural initial phase following any related disease diagnosis, they tend to gradually fade over time as individuals find stability within their new reality; however, acknowledging this challenging life event is crucial for understanding the need for early intervention and support from the very beginning. To navigate this difficult journey effectively, patients and caregivers should recognize that emotional support provides significant benefits starting immediately after diagnosis. The foundation of this support system typically rests with friends and family, who offer a fundamental layer of comfort, yet there are specific indicators suggesting when additional specialist assistance is necessary. If distress becomes severe enough to interfere with daily functioning or hinders the ability to make treatment decisions and engage in therapy, it signals a need for extra help beyond personal networks. This enhanced support can come from medical teams providing clarity on information and reassurance regarding treatment plans, as well as psychological professionals who offer specialized counseling services available at some centers. Beyond clinical interventions, there has been substantial growth over the last two decades in the variety of resources accessible to patients, particularly through non-profit patient support organizations that provide online groups, webinars, and forums where individuals can share experiences without feeling alone. These communities play a vital role by offering guidance from others who have walked similar paths and reinforcing the message that things can improve. Maintaining mental health also involves staying connected to meaningful aspects of life, such as spending time with loved ones or pursuing hobbies, while establishing routines and daily goals helps create structure even when modifications are necessary due to illness. Practical strategies for managing emotional well-being include engaging in gentle physical activity if physically possible, which has proven benefits for mood and anxiety, alongside learning soothing relaxation techniques like breathing exercises or meditation that can be practiced during overwhelming moments. It is equally important not to fear one's emotions but rather to understand them without trying to push them away, as resisting feelings often amplifies their intensity. By normalizing experiences such as feeling sad on a particular day and focusing on actionable steps for the present moment rather than worrying about distant future events, individuals can better manage their mental health and find ways to feel good today despite uncertainties tomorrow.
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A diagnosis of myeloma can generate lots of really strong and intense emotions at the start, which includes the first one that's very common is shock because people are not expecting to be told that they have a cancer. Um and it can be very distressing for people and I would say that lots of strong emotions like shock, anger, disbelief even can be there for people at the start, sadness, grief. Um something that still happens a lot is when you get a cancer diagnosis of any kind, the mind goes to how long am I going to survive? And then through reassurance from the medical team or through treatment, you might be able to be feel confident that your quality you can still have good quality of life and but that fear of death can be there for people right from the start as well. And all of those feelings are there for not just the patient but their caregiver as well. Uh they do fade as as time passes and as they find their feet within the diagnosis, but all of that is part of the initial phase of being diagnosed with myeloma and any related diseases. [music] I would say that patients and carers should know that they will benefit from emotional support from the start because it's a challenging life event. What that support looks like can be different. A lot of the times people use their friends and family for emotional support and that's I think I think the most fundamental layer of support that everybody accesses and benefits from. Other than that, I would say that, you know, if you're feeling distressed so much so that it's either interfering with your ability to function in your day-to-day life or if it's interfering with your ability to think about treatments and make decisions about treatment or engage with treatment, then I think those are two key indicators that mean that you could benefit from some specialist support, which might be your medical more more conversations with your medical team or it might be conversations with a psychological professional, but those are kind of key indicators that people might need an extra layer of support beyond what their friends and family might be able to offer. I think what's really great to see in the last 10-20 years is a real growth in the amount and variety of support that people can access. Again, I always like to emphasize that the first layer of support that patients and families need is from their medical and clinical teams because information, reassurance, and a treatment plan are three things that really help with patient and carer distress and having clarity about those things. >> [music] >> Beyond that, I I always signpost people to patient support organizations that are usually non-profit organizations that have different types of support, you know, online support groups, [music] webinars, even forums where people can share questions and experiences and learn from and kind of know that they're not alone. Um that's the other layer of support. Some centers have access to either in-house or related, you know, attached psychological therapy services, counseling services. So, I think it's kind of like a multi-layered uh support system around the patient or caregiver, and people might need different things at different times, but I'm a big advocate for patient support organizations because there's nothing like having a community of people around you who've been through what you've been through and who can give you guidance and reassure you that >> [music] >> things can be okay. Continuing to stay connected to what makes your life meaningful, whether that's time with your family or your friends, whether that's a particular hobby that makes you feel like yourself. Um doing having routines, having daily goals, regardless of what else might be happening. You might have to modify those goals, but I think structure and routine really helps with mental health. Gentle exercise or more physical activity if you're if you're physically able to manage it has been proven to have huge benefits for mood and anxiety as well. Um, I think learning soothing strategies, learning a few relaxation techniques that you can use in those moments that might you might feel overwhelmed because those moments happen to all of us. That can be really helpful as well. So, just having those in your back pocket, practicing them when you're feeling okay so that they're easy to practice when you're not feeling okay, like a breathing technique or a meditation exercise, all of those things can help as well. Um, I think it's very important to not be afraid of our emotions. I'm a big advocate that understanding why we feel the feelings we feel and not being afraid of them or trying to push them away is really helpful, too, because when we struggle against our emotions, it amplifies them. So, kind of just normalizing and validating your experience that I'm feeling sad today or I'm feeling a bit blue, and then focusing on what you can do in the here and now. What can I do today? I'm worried about what's going to happen tomorrow or next week or next year, but what can I do today that's going to make me feel good today? >> [music]