- 
Many oncologists consider depression part of the illness and often conclude it therefore does not require treatment. 
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Many also believe that if the cancer can be treated, then the accompanying depression will remit on its own. 
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Many patients deal with the knowledge of having cancer through the expected grieving process. BUT, it may precipitate an episode of major depression in 25%. 
Distress Along the Cancer Trajectory
- 
Uncertainty 
- 
Time to Process 
- 
Existential 
- 
Diagnosis 
- 
Start of treatment 
- 
End of treatment 
- 
Recurrence 
- 
Palliation 
- 
Tolerability/Body Image 
- 
Loss of Hope 
Characteristics of Depression vs. Appropriate Sadness

The Distress Thermometer

