‘Is My Cancer Coming Back?’ How to Cope with the Fear of a Recurrence

• Cancer survivors share many things, including this: a fear that their cancer will return. It’s a worry that, ironically, often surfaces at what should be an occasion for relief—the end of active treatment. But that’s exactly when cancer survivors see their doctors less frequently and may feel adrift and anxious.

  This worry is both normal and likely to lessen considerably in time. Still, it may never go away entirely. Even years after treatment, certain things may make someone feel anxious—for example, the anniversary of a diagnosis, a cancer diagnosis in a friend, or a new ache or pain.

  This anxiety can be especially intense before a follow-up scan. There’s even a name for it: scanxiety.

  If all this sounds familiar, these suggestions may help you worry less and feel more hopeful:

  Be in the know about symptoms. 

  It’s normal to worry that each ache and pain means your cancer is back. So be sure to ask your oncologist which symptoms to watch for and report right away. And if anything worries you, always check with your oncologist for advice. Often, these conversations with your doctor or nurse can help lessen fears. Remember, too, that an ache is often just an ache.  

  Take steps to minimize scanxiety. 

  While you wait for results, surround yourself with people you can count on for lots of TLC, and give yourself some too. Engaging in activities you enjoy may help you take your mind off your fears. Maybe that’s a massage, a manicure or a movie.

  Focus on wellness. 

  Instead of using your energy worrying, redirect it toward staying healthy. Consider consulting with a registered dietitian who can help you plan a healthy diet. Be as physically active as you can—exercise can boost your mood. And if you’re a smoker, try to quit.

  Do your best to accept uncertainty. 

  No one can promise that cancer won’t return, and that’s emotionally difficult. But rather than worrying about an uncertain future, do your best to stay in the present. Some people find that relaxation techniques, like deep breathing, help them feel peaceful and calm when faced with anxiety about the future.  

  Take charge of what you can. 

  Stick to your follow-up plan for cancer care by showing up for every visit and test your oncologist advises. And as much as possible, get back to your routine. Even something as simple as setting a daily schedule can help you feel in control.  

  Write down your worries. 

  Make a list of your worries either on paper or on your phone. You may find that writing about your feelings gives you more control over your cancer fears and worries.  

  Create a worry time. 

  Designate a specific time to fret every day. Make it the same place and time. Set aside up to 30 minutes, and try to make the rest of the day a worry-free zone. If a concern about cancer enters your mind, tell yourself to wait until your designated worry time.  

  Get support. 

  Talking openly about your worries—rather than trying to bottle them up—can help you feel supported and stronger. So, seek out a trusted friend or loved one who listens well, a clergy member who might comfort you, or a mental health professional who can help you manage your worries.

  You can also turn to the Patient-to-Patient Support Network at Fox Chase. This telephone-based support program can put you in touch with other survivors who have a similar cancer or who have had similar treatments. Call 215-214-1618 for information.