MHM Magazine

Issue 3 | 2023 | MENTAL HEALTH MATTERS | 23 MHM With more than 30% of cancer patients diagnosed with depression, the South African Society of Psychiatrists calls for greater awareness of patients suffering from mental health disorders. Cancer is the second leading cause of death globally, with an estimated one in six deaths (9.6 million). The most recent statistics available indicate that in South Africa 108 168 men and women were diagnosed in 2020 with cancer. Dr Michelle King, specialist psychiatrist and member of the South African Society of Psychiatrists says being diagnosed with cancer and being a survivor is a scary and emotional experience, and some people may go through a period of grief before being able to accept their diagnosis. Others may become depressed and anxious. “Healthcare professionals may miss the diagnosis of depression and anxiety because they have a false belief that these disorders are normal when facing death. If left untreated or undiagnosed it can impact the patient’s ability to function on a daily basis, including going through treatment.” “The sudden nature in which the cancer is diagnosed, and the uncertainty associated, can trigger fear which could lead to depression and maladaptive anxiety. Patients may feel hopeless, despair, a sense of failure and grief as their chance to a long and healthy life is under threat. Getting through the day becomes a struggle since they must deal with treatment, symptoms, and the uncertainty of their longevity.” “Pain, fatigue, loss of appetite and insomnia are common symptoms experienced by many patients diagnosed with cancer. Poorly controlled pain could lead to or worsen mental health conditions such as depression and anxiety. Those who are survivors might alternate between disheartenment, isolation and fear, to times of hopefulness when returning from a successful follow-up screening. The goal is to find a middle-ground for one’s mental health between treatments, remission or possible relapse.” Dr King says early referral to palliative care services can have a significant improvement in terms of reducing suffering and prolonging the patient’s life.  “Palliative care is specialised care Interview with Dr Michelle King Specialist psychiatrist (SASOP) Johannesburg DEPRESSION AND ANXIETY THE UNTOLD BURDEN OF CANCER