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Counselling and cancer

Types of counselling

There are many different types of counselling. Find the one that you feel is best for you.

How to choose

The type of counselling you choose will depend on:

  • what you feel most comfortable with

  • how serious the issues are that you want to discuss

  • how long you have been having the problems

  • the type of issues you have, such as general worries about not coping, relationship problems, phobias

The important thing to remember is to tell your counsellor if you feel uncomfortable. For example, if they ask you questions that you don’t want to answer.

It’s okay to try different counsellors

If you don’t feel that you’re getting on very well with your counsellor, you can always try someone else.

Personality clashes do happen. So don’t feel bad. It doesn’t mean that counselling won’t help you or that the counsellor is bad at their job. A good counsellor will understand that you may find it more helpful to see someone else.

Supportive one to one counselling

One to one supportive counselling means that you can talk about your problems and worries in confidence.

You talk to a counsellor who is trained to listen and help you explore your thoughts and feelings. You may have practical issues and want some help to sort them out.

The counsellor may not use a particular method here. They won't tell you what to do, but they will listen to you carefully and help you find the best solutions for you. For counselling to work well, it is important that you have a trusting and safe relationship with your counsellor.

Cognitive Behavioural Therapy (CBT)

You may hear the terms cognitive therapy or Cognitive Behavioural Therapy (CBT). CBT aims to help you change how you respond to situations or emotions.

Cognitive describes the mental process that people use, such as to:

  • remember

  • reason

  • understand

  • problem solve

  • judge things

Behaviour describes your actions or reactions to something.

This therapy helps you understand how your thought patterns may make you feel depressed or scared. It also teaches you how to calm your body and mind. This helps you to control your feelings more, think more clearly, and generally feel better about things.

CBT is often used to help people overcome:

  • difficulties in keeping emotions such as anger, sadness, fear and guilt under control

  • feeling very stressed

  • addictions

  • depression

  • panic attacks and phobias

  • anxiety

  • insomnia and other sleep problems

  • low self esteem

Group counselling

There is also group counselling, sometimes called group therapy. This means joining a group where everyone discusses their problems together.

Usually, everyone in the group is facing similar problems, but not always.

The counsellor will facilitate the group and encourage people to express their feelings within it. Some people find it very helpful to learn that they are not alone with their worries.

This method doesn’t suit everyone, especially if you have some very personal and painful issues you want to discuss.

Family counselling

Because cancer often affects the whole family, it can sometimes help if you all see a counsellor together. Family members may be too scared to express how they feel about your illness.

You may not feel well enough or have the time to sit and talk honestly with your partner and children. Talking to children about cancer can be very difficult and upsetting.

Seeing a counsellor together allows you all a set time to listen to each other’s worries. It can really help give everyone in the family a better understanding of what is happening.

It can also bring you closer together and encourage you to support each other.

Children and family counselling

Children may keep many of their feelings to themselves for fear of upsetting you. They’re likely to be trying to deal with your illness, keeping up with schoolwork, looking after younger siblings and wanting to feel supported and accepted by friends.

Last reviewed: 04 Nov 2022

Next review due: 04 Nov 2025

How counselling can help

Counselling can help you sort out many different types of problems that you may face when you have cancer.

Counselling and cancer

Counselling can help you come to terms with your cancer. Understanding what it is and how it can help, can help you decide if it is right for you.

Resources to help you and your children when you have cancer

There are many resources and organisations available that can support you and your children.

Talking to children about cancer

Cancer is a difficult topic to talk about. You might have doubts or concerns which stop you talking to your kids about a cancer diagnosis. It is not easy to decide what or when to tell them.

Mental health and cancer main page

Whether you are someone with cancer or a carer for someone with cancer, we want you to know that it is common to struggle with your mental health when dealing with a cancer diagnosis. But there are people who can support you during this time and things you can do to help yourself.

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