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Skip to content AboutNews/In the MediaSiteman Cancer Center ranked No. 10 among U.S. cancer centersSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine has been named No. 10 among cancer centers nationally by U.S. News & World Report. The recognition is part of the overall ranking&＃8230;Read The Full Story Mission, Vision &＃038; History Why Siteman Diversity, Equity &＃038; Inclusion at SitemanAboutDiversity, Equity &＃038; Inclusion at SitemanLearn More Leadership Organizations Committees Partnerships Contact This is Cancer Learning With National Leaders In the News TreatmentClinicalHow Siteman is leading the way in personalized brain tumor treatmentIf you or a loved one have recently been diagnosed with a brain tumor, you likely feel a great deal of fear and have many questions. The brain is the epicenter of who we are,&＃8230;Read The Full Story Physician Directory Clinical Trials Search Patient Experience Siteman Psychology Service Survivorship Cardio-Oncology Lymphedema Surgery NCI Cancer Information A to Z Treatment Roles Cancer Types Bladder Brain Breast Cervical Childhood Cancers Colorectal Young Onset Colorectal Esophageal Gallbladder Head/Neck Kidney Leukemia Liver Lung Lymphoma Multiple Myeloma Myelodysplastic Syndromes (MDS) Ovarian Pancreatic Prostate Sarcoma/Rare Tumors Skin Stomach Testicular Thyroid Uterine The Siteman Approach Medical Therapy Expertise in Radiation Oncology Surgery Genetics and Hereditary Cancer Cancer Imaging Immunology and Immunotherapy Pathology Patient and Family Services Specialized Programs Stem Cell Transplant and Cellular Therapies Center Gynecologic Oncology Brain Tumor Center Sarcoma VisitingNews/In the MediaSiteman Cancer Center expands proton therapy treatmentSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine is expanding proton therapy for patients by adding the latest, most innovative technology to its S. Lee Kling Proton Therapy Center with the addition of&＃8230;Read The Full Story Patient and Family Services Washington University Medical Campus West County St. Charles County South County Siteman Kids at St. Louis Children’s Hospital North County Illinois Siteman Cancer Network Cancer Care Clinic Barnard Health and Cancer Information Center Pharmacies Payment Information &＃038; Assistance Patient Rights Patient Privacy PreventionPreventionSiteman explains what every woman should know about endometrial cancer risk, symptoms and screeningEndometrial cancer is the fourth most common cancer for women in the United States. It also accounts for approximately 4 percent of cancer deaths in women. However, because it is usually diagnosed early, it is&＃8230;Read The Full Story Your Disease Risk® Preventing Cancer Risk Factors Screening Smoking Cessation Mammography Genetic Counseling Cancer News in Context 8IGHTWAYS® to Prevent Cancer Health Disparities Community Outreach and Engagement ResearchResearchImmunity boosting treatment enhances CAR-T cell therapy for blood cancersAdvances in cellular immunotherapy that spur genetically modified T cells to attack cancer cells have revolutionized the treatment of certain blood cancers. Six such CAR-T cell therapies are approved by the Food and Drug Administration&＃8230;Read The Full Story List of Researchers Significant Research Advances Learn About Clinical Trials Membership Information Plan to Enhance Diversity (PED) Research Programs Funding Opportunities Training &＃038; Education Shared Resources (Cores) Resources for Researchers SPORE in Pancreatic Cancer SPORE in Endometrial Cancer SPORE in Leukemia Center for Genome Integrity CliniciansNews/In the Media$5.3 million grant supports research into lung cancer recurrenceResearchers at Washington University School of Medicine in St. Louis are leading a national study aimed at identifying patients with early-stage lung cancer who are at high risk of having the cancer return, even after&＃8230;Read The Full Story Physician Services Educational Programs GiveNews/In the MediaCouple honors physician with gift for distinguished professorshipEndowment will support leader in gynecologic oncology Financial adviser Elizabeth Mannen Berges lives each day with heightened gratitude for the basic components of a meaningful life—fulfilling work, caring relationships, and a sense of purpose. A&＃8230;Read The Full Story Siteman Advancement Office Volunteering and Contributing The Foundation for Barnes-Jewish Hospital AboutNews/In the MediaSiteman Cancer Center ranked No. 10 among U.S. cancer centersSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine has been named No. 10 among cancer centers nationally by U.S. News & World Report. The recognition is part of the overall ranking...Read The Full StoryAboutNews/In the MediaSiteman Cancer Center ranked No. 10 among U.S. cancer centersSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine has been named No. 10 among cancer centers nationally by U.S. News & World Report. The recognition is part of the overall ranking...Read The Full StoryMission, Vision & HistoryWhy SitemanDiversity, Equity &＃038; Inclusion at SitemanAboutDiversity, Equity &＃038; Inclusion at SitemanLearn MoreLeadershipOrganizationsCommitteesPartnershipsContactThis is CancerLearning With National LeadersIn the NewsTreatmentClinicalHow Siteman is leading the way in personalized brain tumor treatmentIf you or a loved one have recently been diagnosed with a brain tumor, you likely feel a great deal of fear and have many questions. The brain is the epicenter of who we are,...Read The Full StoryTreatmentClinicalHow Siteman is leading the way in personalized brain tumor treatmentIf you or a loved one have recently been diagnosed with a brain tumor, you likely feel a great deal of fear and have many questions. The brain is the epicenter of who we are,...Read The Full StoryPhysician DirectoryClinical Trials SearchPatient ExperienceSiteman Psychology ServiceSurvivorshipCardio-OncologyLymphedema SurgeryNCI Cancer Information A to ZTreatment RolesCancer TypesCancer TypesBladderBrainBreastCervicalChildhood CancersColorectalYoung Onset ColorectalEsophagealGallbladderHead/NeckKidneyLeukemiaLiverLungLymphomaMultiple MyelomaMyelodysplastic Syndromes (MDS)OvarianPancreaticProstateSarcoma/Rare TumorsSkinStomachTesticularThyroidUterineThe Siteman ApproachThe Siteman ApproachMedical TherapyExpertise in Radiation OncologySurgeryGenetics and Hereditary CancerCancer ImagingImmunology and ImmunotherapyPathologyPatient and Family ServicesSpecialized ProgramsSpecialized ProgramsStem Cell Transplant and Cellular Therapies CenterGynecologic OncologyBrain Tumor CenterSarcomaVisitingNews/In the MediaSiteman Cancer Center expands proton therapy treatmentSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine is expanding proton therapy for patients by adding the latest, most innovative technology to its S. Lee Kling Proton Therapy Center with the addition of...Read The Full StoryVisitingNews/In the MediaSiteman Cancer Center expands proton therapy treatmentSiteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine is expanding proton therapy for patients by adding the latest, most innovative technology to its S. Lee Kling Proton Therapy Center with the addition of...Read The Full StoryPatient and Family ServicesWashington University Medical CampusWest CountySt. Charles CountySouth CountySiteman Kids at St. Louis Children’s HospitalNorth CountyIllinoisSiteman Cancer NetworkCancer Care ClinicBarnard Health and Cancer Information CenterPharmaciesPayment Information &＃038; AssistancePatient RightsPatient PrivacyPreventionPreventionSiteman explains what every woman should know about endometrial cancer risk, symptoms and screeningEndometrial cancer is the fourth most common cancer for women in the United States. It also accounts for approximately 4 percent of cancer deaths in women. However, because it is usually diagnosed early, it is...Read The Full StoryPreventionPreventionSiteman explains what every woman should know about endometrial cancer risk, symptoms and screeningEndometrial cancer is the fourth most common cancer for women in the United States. It also accounts for approximately 4 percent of cancer deaths in women. However, because it is usually diagnosed early, it is...Read The Full StoryYour Disease Risk®Preventing CancerRisk FactorsScreeningSmoking CessationMammographyGenetic CounselingCancer News in Context8IGHTWAYS® to Prevent CancerHealth DisparitiesCommunity Outreach and EngagementResearchResearchImmunity boosting treatment enhances CAR-T cell therapy for blood cancersAdvances in cellular immunotherapy that spur genetically modified T cells to attack cancer cells have revolutionized the treatment of certain blood cancers. Six such CAR-T cell therapies are approved by the Food and Drug Administration...Read The Full StoryResearchResearchImmunity boosting treatment enhances CAR-T cell therapy for blood cancersAdvances in cellular immunotherapy that spur genetically modified T cells to attack cancer cells have revolutionized the treatment of certain blood cancers. Six such CAR-T cell therapies are approved by the Food and Drug Administration...Read The Full StoryList of ResearchersSignificant Research AdvancesLearn About Clinical TrialsMembership InformationPlan to Enhance Diversity (PED)Research ProgramsFunding OpportunitiesTraining &＃038; EducationShared Resources (Cores)Resources for ResearchersSPORE in Pancreatic CancerSPORE in Endometrial CancerSPORE in LeukemiaCenter for Genome IntegrityCliniciansNews/In the Media$5.3 million grant supports research into lung cancer recurrenceResearchers at Washington University School of Medicine in St. Louis are leading a national study aimed at identifying patients with early-stage lung cancer who are at high risk of having the cancer return, even after...Read The Full StoryCliniciansNews/In the Media$5.3 million grant supports research into lung cancer recurrenceResearchers at Washington University School of Medicine in St. Louis are leading a national study aimed at identifying patients with early-stage lung cancer who are at high risk of having the cancer return, even after...Read The Full StoryPhysician ServicesEducational ProgramsGiveNews/In the MediaCouple honors physician with gift for distinguished professorshipEndowment will support leader in gynecologic oncology Financial adviser Elizabeth Mannen Berges lives each day with heightened gratitude for the basic components of a meaningful life—fulfilling work, caring relationships, and a sense of purpose. A...Read The Full StoryGiveNews/In the MediaCouple honors physician with gift for distinguished professorshipEndowment will support leader in gynecologic oncology Financial adviser Elizabeth Mannen Berges lives each day with heightened gratitude for the basic components of a meaningful life—fulfilling work, caring relationships, and a sense of purpose. A...Read The Full StorySiteman Advancement OfficeVolunteering and ContributingThe Foundation for Barnes-Jewish Hospital Request an Appointment Request an Appointment For help choosing a doctor or making an appointment, please complete our form or call us directly. 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It’s normal to feel alarmed, upset, and overwhelmed by all of the unknowns ahead. It’s also normal to maintain hope, joy, and a sense of humor in the midst of a major life upheaval. Emotional reactions to cancer can vary, and there is not one right way to feel. While most individuals affected by cancer are not diagnosed with a mental illness, experiences of distress, anxiety, and depression are common. These symptoms can occur at any point in the treatment process and even after recovery as individuals adjust to a “new normal.” What is Siteman Psychology Service? Siteman Psychology Service is here to support adult patients, family members, or caregivers with any and all cancer-related mental health concerns. Our service is entirely free of charge and open to those experiencing any level of distress or other reaction to the cancer experience. Even if you are doing well, we can help you build on your strengths and add to your coping toolbox. We provide a holistic complement to your medical treatment team by focusing on the psychological side effects of cancer. Our team All of the psychologists on our staff are psycho-oncologists: doctors who specialize in the psychological care of cancer patients. They will partner with your medical providers at Siteman to develop a comprehensive treatment plan. They also conduct research into the conditions they treat, working to develop new therapies and techniques that can help you more effectively. Make an appointment Siteman Psychology Services all take place virtually. Reaching out for support will include a brief screening to determine the best services recommendation for your circumstance.  To make an appointment, call 314-747-5587 or click the button below. Make an Appointment If you are in crisis, call 988.  FAQs General mental health What are common mental health issues experienced by cancer patients? Patients with cancer often feel “distress:” powerful, unpleasant emotions that can affect them mentally, socially and even spiritually. Some patients experience more intense distress than others. Mild distress might take the form of feeling sad or vulnerable, while severe distress can include panic attacks, social isolation, and existential grief. At its worst, distress can seem all-encompassing and inescapable. Some of the most common manifestations of distress are symptoms of depression and anxiety, such as: Worry Sadness Fear Low mood Loss of appetite Difficulty focusing or concentrating Fatigue Mood swings Inability to sleep These symptoms don’t necessarily mean that a patient has an anxiety disorder or clinical depression, but their impact cannot be underestimated. Sometimes, patients come to Siteman Psychology Service who have previously been diagnosed with a mental illness. Our doctors are fully equipped to handle both their existing mental illness and the distress caused by cancer. For anyone in crisis and/or having thoughts of suicide, talk with someone immediately by calling 988. What mental health issues do caregivers typically struggle with? Like cancer patients, those who love them and care for them can experience negative emotions and distress, including symptoms of anxiety and depression. Caregivers may also struggle with “caregiver stress,” a condition in which they feel overwhelmed by caregiving duties and concern for the patient’s wellbeing. What lifestyle adjustments can cancer patients or caregivers make to improve mental health? There are several simple strategies that can help cancer patients and those who love and care for them develop a greater sense of well-being during treatment and recovery: Mindfulness Relaxation techniques, such as deep breathing and guided imagery Assembling and relying on a strong support system, such as family members,friends, and community groups Talking to your medical team about physical and emotional distress Impact of cancer How do the different stages of treatment impact mental health? Patients should know that they may experience heightened distress at certain stages in their cancer journey. Diagnosis: The time of diagnosis is an extremely stressful one for patients and caregivers. They are suddenly confronted with a major life disruption, and wonder about questions such as, “Will I survive?” “How much will the treatment change me and my body?” “How will I care for my family while going through treatment?” and “Will things ever be normal again?” Immediately before treatment begins: Before beginning treatment, patients may worry about pain and side effects, as well as the disruptions to family life brought on by regular visits to the hospital or outpatient clinic. Remission: It’s a relief to be told that your cancer is in remission and you no longer have to undergo treatment. However, many patients find it difficult to leave the constant supervision and protection offered by their doctors and nurses. They may worry how they will cope on their own, fear the recurrence of the cancer, or feel in shock from all that they have gone through. Some survivors experience symptoms of PTSD, or post-traumatic stress disorder, at this time. It’s important to recognize that your mental wellness is often directly tied to your experience of treatment, and that emotional distress can make your treatments seem more painful and difficult to bear. Don’t hesitate to discuss your mental health with your medical providers. They may be able to make your treatments more comfortable for you both mentally and physically. Our staff is available to provide support at all stages of treatment and recovery, and we can be present for you in your treatment location if need be. We will work with your oncologists and other providers to integrate your mental health care into your treatment for cancer. When should patients or caregivers seek help? Patients and caregivers should feel free to seek help at any point, even if they don’t feel that their symptoms are “bad enough” to deserve attention. Though most patients and loved ones do learn to cope with their feelings in a healthy way, they can still benefit from psychological care as they navigate the fears and distress that are a normal part of being treated for cancer or caring for a cancer patient. However, patients or caregivers should seek additional support if they experience: A lingering low mood Lack of interest or engagement in things they once enjoyed Significant worry that interferes with their ability to live or sleep At Siteman Psychology Service, we can treat the psychological issues causing these problems as well as their physical effects, such as insomnia. Siteman Psychology Service How can Siteman Psychology Service help me or my loved ones? We offer a variety of therapies and treatments. Patients are first seen at an intake appointment, where they are assessed through questionnaires and provided with a treatment plan. Our treatments will include evidence-based practices, such as: Supportive therapy: In talk therapy, you will discuss your fears, concerns, and experiences with a psychologist. He or she will use the conversation to help you better understand your situation and find ways to work through it. Mindfulness interventions: Mindfulness is a process of bringing your full attention and awareness to the present moment, with an attitude of non-judgment and compassion for your own experience. This practice can help manage negative emotions, boost positive emotions, and enhance quality of life. Cognitive behavioral therapy (CBT): Cognitive behavioral therapy teaches patients to replace harmful patterns of thought or behavior with healthier alternatives. For those with cancer, cognitive behavioral therapy can reduce fears and distress surrounding medical procedures. Acceptance and commitment therapy (ACT): Acceptance and commitment therapy can be particularly helpful for patients who try to cope with cancer by ignoring or rejecting their feelings. In ACT, patients learn to accept the emotions they are experiencing without getting caught up in them. Then, patients are guided toward behavior change that is consistent with their own life values. Does Siteman Psychology Service prescribe medication? No, as clinical psychologists, we do not prescribe medication to our patients. If a patient would likely benefit from medication, we refer him or her to the cancer psychiatry department. Sometimes the combination of mental health medications and counseling is the most effective treatment for cancer-related mental health distress. How can I make an appointment with Siteman Psychology Service? If you or a loved one wish to consult with a member of our team, call 314-747-5587 to reach our scheduler. You can also request a referral through one of your physicians. Appointments are available at our outpatient clinic and on inpatient units. If you prefer, you can click here to schedule an appointment online. Contact 800-600-3606 Email Subscribe for Siteman Updates X-twitter Facebook Youtube Linkedin Instagram Careers Washington University Barnes-Jewish Hospital Locations Washington University Medical Campus West County St. Charles County South County North County Illinois Copyright © 2015 - 2024 All rights reserved.