Breast Cancer and Depression

(from an article by Patricia Lund, Ph.D.)
As women traverse the breast cancer path, depression is a common companion. For many women, questions naturally arise such as "Am I depressed, or is this a normal reaction to my diagnosis and treatment?" "Am I mentally ill?" "Is what I am feeling due to breast cancer or to chemotherapy or tamoxifen?" "What do I do about these feelings?"
Here, several women discussed the feelings they were experiencing. Common descriptions included not being able to get tasks done, being extremely tired or lacking in energy, having no motivation, crying a lot, not being able to concentrate, feeling that memories and decisions were moving in slow motion, or feeling chronically sleepy. Some complained of difficult adjustments in self image ("I don't know who I am anymore"), that life seemed blurry, like everything was on the other side of a glass curtain, or that life seemed too loose and open-ended, no longer comprehensible. In a colorful turn of phrase, one woman described her brain as feeling like it were made of Swiss cheese.
It is important to distinguish depression from sadness. Depression is much more than just being very sad; there is a deep sense of hopelessness which the depressed person sees as permanent. The person feels cut off from the emotional content of experiences, so that life loses its normal sense of connectedness. A depressed person often cannot remember that things were okay in the past, and may experience truly agonizing emotional pain. There is a distinct quality to clinical depression as compared to normal variations in mood; a loss of the sense of control which can in turn lead to increasing stress. Depression is often accompanied by physiological changes such as disruption of normal sleep patterns or changes in appetite.
In summary, the answer to the question "Can breast cancer lead to depression?" is a clear and unequivocal "Yes". If you suspect you or a loved one is depressed, there are many actions that can be taken. First, see a doctor or a qualified therapist who can provide an objective assessment of the condition. If there is a danger of feeling like ending one's life, it is necessary to obtain immediate help from a physician who specializes in crisis care to avert an irreversible action that is a result of the disease. It is important to carefully check for possible physical causes such as a thyroid condition, side effects of medications or menopausal changes. From this point on, there are many options to pursue including antidepressant medications, psychological counseling or therapy, acupuncture or herbal therapies, nutritional changes, and self-help groups. The important thing to remember is that depression after a diagnosis of breast cancer is normal, treatable, and can even help motivate positive changes in one's approach to and outlook on life.