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Psychological
aspects
Pathological patient reactions

Through the scientific and independent study of patient reactions to diagnosis announcement, psycho-oncology has enabled the identification of certain pathological situations for which the involvement of a psychiatrist and a psychological support team appears necessary.

Adaptation difficulties

Adaptation difficulties are frequent (around 30% of patients) and they convey an adverse reaction to the stress provoked by the announcement of cancer. They often only last for a few months.

Observed symptoms include manifestations of anxiety and depression (generally moderate), relational difficulties (irritability, conflict), behavioural problems (refusing treatment), excessive body image worries and rehabilitation problems.

Attentive listening, without seeking in the first instance to reassure the patient, but rather to clarify the stakes involved in medical examinations and treatment, together with a few relaxation sessions where necessary, or, in certain cases, the prescription of low-dose antidepressants (benzodiazepines), should enable a rapid adaptation to the patient’s new situation.

The scale of the patient’s initial reaction is not necessarily a sign of his poor adaptation to his future situation.

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