• Many oncologists consider depression part of the illness and often conclude it therefore does not require treatment.

  • Many also believe that if the cancer can be treated, then the accompanying depression will remit on its own.

  • 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