Feelings of sadness can be common for people coping with cancer or any serious illness, but it is very important to distinguish between major depression and normal levels of sadness. According to the National Cancer Institute, 15 percent to 25 percent of cancer patients deal with depression, affecting equally both men and women. A person may face important issues, including fear of death, changes in body image, legal or financial issues and interruption of future plans.

There are some common misconceptions, however, that all cancer patients deal with depression, that it is normal and nothing can be done about it. Again, while feelings of sadness may appear for some cancer patients, symptoms of depression should be evaluated for their duration and severity in order to properly diagnose and treat them.

Symptoms of depression can include the following.

• Persistent anxious or empty mood
• Feeling hopeless, worthless or helpless
• Loss of interest in activities that were once enjoyed
• Changes in eating or sleeping habits
• Decreased energy
• Poor concentration
• Thoughts of suicide or death

If you are experiencing symptoms of depression, talk to your healthcare provider about treatment options that may include a combination of counseling and medications. Depression is a treatable disorder and should not be ignored.

The Cancer Institute at UT Medical Center participates in an ongoing clinical trial studying the effectiveness of non-medication-based treatment for clinically depressed cancer patients. This treatment is based on solid clinical research that suggests cognitive-behavioral therapy may be a viable option to reduce symptoms of depression and anxiety as well as improve the overall quality of care and quality of life of cancer patients. Patients meet one-on-one with a therapist for nine sessions. For more information about this study, call Dr. Derek Hopko at 865.974.3368.

Cancer support groups also may be helpful in treating depression in cancer patients. Support groups have been shown to improve mood, encourage the development of coping skills and improve quality of life and immune response.

At the Cancer Institute, clinical social workers and pastoral care professionals work hand in hand with physicians to provide a team approach to cancer care. For more information about the American Cancer Society’s, I Can Cope, an educational series for cancer patients and their caregivers or Man to Man, a prostate cancer support group, call Teri Green at the UT Medical Center Cancer Institute at 865.305.6154.