Emotional Health

Body Image & Identity

Cancer itself, in addition to cancer treatment, can affect one's perception of identity. Chemotherapy or radiation related side effects may cause skin changes or hair loss. Surgical removal of cancerous areas may affect parts of you that impact self-image or esteem. Being exhausted and weight loss or gain from treatment may alter self-perception of health and vitality. Functional physical changes can impact self-esteem and intimate relationships during treatment.

Body image and identity issues are often an under-appreciated component of cancer and cancer treatment, and many patients feel embarrassed to bring them up to their healthcare providers. Yet, our relationship with our body and our functionality are core parts of our identity in many ways, and when they change, it can be difficult to accept and cope with. This is normal and should be addressed in a supportive and nurturing way, as many of these changes are beyond your control. These issues are recognized as real side effects of the cancer journey and addressing them are an important part of healing.

Health providers such as psychologists, psychiatrists, social workers, and oncology nurses can provide specialized care in coping with emotional, spiritual, or physical issues that arise from alteration in body image or function. There are also resources available through local or national organizations to help you cope with sexuality issues and feelings of demoralization. There are also products such as wigs, specialized bras, bathing suits, and items to help with incontinence or other body issues that may arise. Be sure to ask about these resources and products, because in the busy activity of caring for cancer patients, your healthcare team may forget to bring them up to you.

References

Fingeret, 2018

Sherman, 2018