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Psychological Support for Cancer Patients

CION’s psycho-oncology team helps you and your family cope with the worry, sadness, fear and stress that cancer can bring.

Talk to Our Care Team

Leave your number and our care team will call you back.

How Are You Feeling This Week?

A quick, private check-in. Choose a number, and we’ll suggest a next step.

Feelings Are Normal

Worry, sadness, anger and fear are normal reactions to cancer. Nearly half of people with cancer report having a lot of distress. Source: NCI PDQ

Quick check

Takes a minute

How much distress (worry, sadness, stress) have you felt in the past week?
Have you felt low or worried most days for 2 weeks or more?
What’s been hard lately? (optional)

If you chose 4 or more, or you’ve felt low or worried most days for 2 weeks or more, talking to CION’s psycho-oncology team can help. If not, the tips below may help.

Feeling unsafe right now? Call 1800 202 8726, any time.

Your answers stay on this page.

When to Talk to Someone

  • Low mood or worry most days for 2 weeks or more
  • Big changes in your sleep or appetite
  • Feeling hopeless, or that nothing will help

Sources: NCI · NCI PDQ · ACS · Macmillan · the 0–10 check: ACS; 4 or more as a prompt to talk: the NCCN Distress Management guideline

CION guide: Counselling in Telugu, in Hyderabad

You’ll talk toDr. Mahati ChittemPsycho-oncologist · PhD (Health Psychology)

Common Feelings, and What Helps

These are common. Talk to us any time, or open one to see what helps.

Shock and Disbelief

Many people feel numb, or can’t take the news in at first. It’s a normal way of coping with big news.

What helps

Take it one step at a time. Write down your questions, take someone with you to appointments, and ask your doctor to explain anything you don’t understand.

Talk to us if you still feel numb or unable to take things in after 2 weeks, or it’s hard to decide about treatment.

Worry and Anxiety

A patient practising slow breathing with a counsellor in a calm room

Worry is common before tests, while waiting for results and during treatment. It can bring a racing heart, poor sleep or trouble concentrating.

What helps

Try slow breathing: breathe in gently, then breathe out slowly for a few minutes. Get the facts from your team rather than stories, and keep doing small things you enjoy, such as music or a short walk.

Talk to us if worry stops you sleeping, eating or getting through the day, or it’s there most days for more than 2 weeks. Tell your doctor about a racing heart or other body changes too, as treatment can cause them.

Sadness and Low Mood

Feeling sad about the changes cancer brings is common, and it can come even after treatment ends.

What helps

Let yourself have sad days. Keep a simple daily routine, get some daylight and gentle activity, and tell someone close how you really feel.

Talk to us if you feel low or lose interest in things most days for more than 2 weeks, or you feel hopeless. If you ever think about harming yourself, call 1800 202 8726 now.

Anger and Frustration

It’s normal to ask “Why me?” and to feel angry, even with the people you love.

What helps

You don’t have to pretend everything is okay. Anger often hides fear or feeling helpless, so try to name it and talk it through. A walk or some quiet time can help it pass.

Talk to us if anger stays with you most days for more than 2 weeks, or it’s hurting your relationships.

Fear of the Cancer Coming Back

Many people worry about this after treatment, especially around check-ups and scans.

What helps

Focus on what you can control: keep your follow-ups, keep a routine and make plans. Ask your team which changes to report, rather than worrying about every ache alone.

Talk to us if the fear fills most of your days, or stops you planning ahead, for more than 2 weeks.

Feeling Alone

You can feel alone even with family around, and after treatment ends, when the visits stop.

What helps

Tell one person you trust how you really feel. Let friends know what would help, such as a call or a visit, and make time for people or your faith community if that helps you.

Talk to us if you feel cut off from everyone most days for more than 2 weeks.

Guilt

Many people feel guilty: about worrying their family, being a burden, missing work, the cost of care, or habits they think caused the cancer.

What helps

Blaming yourself doesn’t help, and your thoughts and feelings didn’t cause your cancer. Let people help you, as it often helps them too, and focus on today rather than on what you could have done.

Talk to us if guilt or feeling like a burden weighs on you most days, or lasts more than 2 weeks. If you ever think about harming yourself, call 1800 202 8726 now.

Changes in Body Image

Hair loss, scars, weight changes or a stoma can change how you feel about your body, about being seen, or about being close to your partner.

What helps

Give yourself time to adjust. Talk to your partner or someone close about how you feel, and try new ways to feel like yourself, such as a scarf, a new hairstyle or clothes that feel comfortable.

Talk to us if you avoid going out or seeing people because of how you look, for more than 2 weeks.

Feeling several of these? Talking it through with CION’s psycho-oncology team can help.

Book a counselling session

Sources: NCI · NCI PDQ · NCI · Macmillan · ACS

CION guide: Fear of cancer coming back after treatment

How Psycho-Oncology Counselling Works

  1. 1
    A patient on the phone booking a counselling session, with her husband beside her

    Book a Session

    Call us, use the form below, or ask your oncologist or nurse at your next visit.

  2. 2
    A patient and her husband talking with a CION counsellor

    Your First Conversation

    Talk about what’s worrying you, at your own pace. Family can join if you wish.

  3. 3
    A patient writing down her support plan with a family member beside her

    Your Support Plan

    Together you agree what will help: one-to-one counselling, family sessions, relaxation, or a mix.

  4. 4
    A patient at home in a video session with her counsellor

    Ongoing Support

    In person, by video or by phone, during treatment and after it ends.

Counselling helps you cope. It doesn’t treat the cancer itself.

Who Does What

Counsellor or psychiatrist?
  • Counsellor or Psychologist

    Listens without judging and helps you find ways to cope. Doesn’t prescribe medicines.

  • Psychiatrist

    A medical doctor who can prescribe medicines if they’re needed. If you need one, your doctor arranges it.

Sources: Macmillan · ACS · NCI PDQ

Meet CION’s Psycho-Oncologist

Dr. Mahati Chittem, psycho-oncologist at CION Cancer Clinics

Psycho-oncologist

Dr. Mahati Chittem

PhD (Health Psychology), University of Sheffield, England

A psychologist who specialises in cancer care.

  • Psycho-oncology, health psychology and medical psychology
  • Works alongside your cancer specialists
Book a counselling session

Cancer Counselling We Offer

  • One-to-One Counselling

    Time with Dr. Chittem or a counsellor from the team to talk through what’s hard. It may use ideas from CBT (cognitive behavioural therapy): noticing unhelpful thoughts and habits, and trying more helpful ones.

  • Family and Caregiver Counselling

    For your family, with you or on their own: talking openly, sharing the load, and caring for the carer.

  • Relaxation and Mindfulness

    Simple breathing, relaxation and mindfulness to use at home, before a scan or during treatment, to help you feel calmer.

Moments We Can Help With

  • At diagnosis
  • Waiting for results
  • Before surgery or treatment
  • After treatment ends
  • If cancer comes back

Sources: NCI PDQ · Macmillan

Counselling for Cancer Caregivers and Families

Signs You Need a Break

  • Tired all the time
  • Withdrawn, distracted or alone
  • Frustrated, angry or helpless
  • Worn out, even after treatment ends

Looking After Yourself

  • Say yes when people offer help
  • Share tasks, so one person isn’t doing it all
  • Keep a little time each week for yourself
  • Book a session of your own with us
Talking to Children About CancerTips by age

Be honest, in simple words, a little at a time. Three things every child needs to hear:

  • Nothing they did caused it. Not something they said, did or thought.
  • They can’t catch it. Hugs and sitting close are fine.
  • They will be looked after. There will always be someone to care for them.
Young children
Simple words, a soft toy or a drawing, and everyday routines kept going.
School-age children
Honest answers, school and friends kept going, and small ways to help.
Teenagers
Include them, answer questions honestly, and respect their privacy.

Some families want to keep the diagnosis from the person with cancer, out of love. That’s a common wish, but not knowing can add to their worry. We can help you talk it through.

Sources: ACS · NCI PDQ · Macmillan · Cancer Research UK

CION guides: Talking to children about chemotherapy · The emotional and family side of genetic testing

Myth or Fact?

Common beliefs about feelings and counselling, answered

Myth“Needing counselling means you’re weak.”

FactCancer is hard for anyone. Distress is an expected reaction, and like other side effects it can usually be eased, so asking for help is a sensible step. Source: ACS

Myth“Talking about it makes it worse.”

FactTalking often helps you cope. A counsellor listens without judging, and you choose what to share and when. Source: Macmillan

Myth“Only patients need support, not families.”

FactFamily carers feel the strain too, and can become anxious or low. CION’s family sessions are for them as well. Source: NCI PDQ · ACS

Myth“If I stay positive, the cancer will go away.”

FactYour thoughts and feelings don’t cause cancer, and there’s no good evidence that your attitude changes how it turns out. Hope can still make the days feel better, but you don’t have to be cheerful all the time: bad days are allowed. Source: ACS · NCI

Why patients choose CION

Why Choose CION for Psychological Support?

Support for your mind, alongside your cancer care.

  • Freefor CION patients
  • 24/7helpline
  • 35+centres
Book a counselling session
  1. A Psycho-Oncologist in Your Cancer Team

    Dr. Mahati Chittem and CION’s psycho-oncology team work alongside your oncologist.

  2. Counselling in Your Language

    Talk in Telugu, Hindi or English, whichever feels easiest.

  3. In Person, by Video or by Phone

    Sessions that fit around your treatment days and travel.

  4. Support for Your Family Too

    Family and caregiver sessions, with you or on their own.

  5. Before, During and After Treatment

    From the day you’re diagnosed to life after treatment ends.

Your Cancer Care Team

Counselling runs alongside care from CION’s 18 cancer specialists.

Medical Oncologists 6

Treat cancer with medicines such as chemotherapy.

  • Dr. Naresh Gundu, Medical Oncologist

    Dr. Naresh Gundu

    Reviews CION’s guides on coping during chemotherapy

    10+ years · MBBS, DNB (Internal Medicine), DM (Medical Oncology)

    Centres: Ameerpet, Kompally
  • Dr. C. Raghavendra Reddy, Medical Oncologist

    Dr. C. Raghavendra Reddy

    8+ years · MBBS (Gold Medal), DNB (General Medicine), DM (Medical Oncology) (Gold Medal)

    Centres: Kukatpally
  • Dr. Bharati Devi Gorantla, Medical Oncologist

    Dr. Bharati Devi Gorantla

    8+ years · MBBS, MD (General Medicine), DM (Medical Oncology) (Adyar, Chennai), ECMO, MRCP SCE (UK)

    Centres: Vizag region
  • Dr. Owais Mohammed, Medical Oncologist

    Dr. Owais Mohammed

    8+ years · MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

    Centres: Masab Tank, Tolichowki, Banjara Hills
  • Dr. T. Raghavender Reddy, Medical Oncologist

    Dr. T. Raghavender Reddy

    10+ years · MBBS, DM (Medical Oncology), MD (Radiation Oncology)

    Centres: L.B. Nagar
  • Dr. N. Kiranmayee, Medical Oncologist

    Dr. N. Kiranmayee

    7+ years · MBBS, DM (Medical Oncology), MD (Internal Medicine)

    Centres: Ameerpet, Kompally

Radiation Oncologists 4

Treat cancer with carefully aimed radiation.

Surgical Oncologists 7

Decide whether an operation can remove the cancer, and when.

  • Dr. Mohammed Imaduddin, Head of Surgical Oncology

    Dr. Mohammed Imaduddin

    Head of Surgical Oncology

    12+ years · MBBS, MS (General Surgery), M.Ch (Surgical Oncology)

    Centres: Masab Tank, Tolichowki, Banjara Hills
  • Dr. Muralidhar Muddusetty, Surgical Oncologist

    Dr. Muralidhar Muddusetty

    20+ years · MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

    Centres: All Hyderabad centres
  • Dr. Raghavendra Naik, Surgical Oncologist

    Dr. Raghavendra Naik

    10+ years · MBBS, MS (General Surgery), M.Ch (Surgical Oncology)

    Centres: Vizag region
  • Dr. Vinay Mamidala, Surgical Oncologist

    Dr. Vinay Mamidala

    8+ years · MBBS, MS (General Surgery), M.Ch (Surgical Oncology), FMAS, FARIS (ongoing)

    Centres: L.B. Nagar
  • Dr. Paila Gowri Naidu, Surgical Oncologist

    Dr. Paila Gowri Naidu

    7+ years · MBBS, MS (General Surgery), M.Ch (Surgical Oncology), FMAS

    Centres: Vizag region
  • Dr. Vajja Sandeep Kumar, Surgical Oncologist

    Dr. Vajja Sandeep Kumar

    5+ years · MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology

    Centres: Ameerpet, Kompally
  • Dr. Sridhar Kamani, Surgical Oncologist

    Dr. Sridhar Kamani

    10+ years · MBBS, MS (General Surgery), DrNB (Surgical Oncology)

    Centres: Kukatpally

Haematologist 1

Specialist in blood cancers and blood disorders.

  • Dr. Basudev Pokhrel, Haematologist

    Dr. Basudev Pokhrel

    Reviews CION’s guides for blood-cancer carers

    10+ years · MBBS, MD (Immunohaematology & Blood Transfusion), Fellowship in Clinical Haematology (CMC Vellore)

    Centres: All Hyderabad centres

Start with a Counselling Session

Talk to us about how you’re feeling, alongside your treatment.

Book a session

Before Your Session

When to Reach Out

  • Any time feelings get in the way of daily life
  • You don’t need to wait for a crisis, or for things to get worse
  • During treatment, or months or years after it

Ask at any CION visit, or call us to book.

Your checklist

What to Bring

  • Nothing special is needed
  • A note of what’s worrying you, or your answers from the quick check
  • Your medicine list, including any sleep or mood medicines

Come as you are. There’s no need to prepare.

Questions to Ask

  • How often will we meet, and for how long?
  • What can I try at home between sessions?
  • How will we know if it’s helping?
  • Who in my care team should know how I’m feeling?

Book a Counselling Session

A CION nurse in a lavender uniform beside a smiling patient in a wheelchair, in front of the CION Cancer Clinics logo
A CION nurse with a patient

Prefer to talk now? Call 1800 202 8726. Privacy policy

Visiting CION

Timings
Monday to Saturday, 10:00 AM – 6:00 PM
Helpline
1800 202 8726, answered any time, day or night

35+ CION centres

Telangana districts
  • Karimnagar
  • Kamareddy
  • Mahabubnagar
  • Medak
  • Nalgonda
  • Miryalaguda
  • Nizamabad
  • Rajanna Sircilla
  • Ranga Reddy
  • Shadnagar
  • Husnabad
  • Siddipet
  • Gajwel
  • Zaheerabad
  • Sadashivpet
  • Sangareddy
  • Suryapet
  • Tandur
  • Vikarabad
  • Pargi
Andhra Pradesh
  • Srikakulam
  • Razam
  • Vizianagaram
  • Bobbili
  • S Kota
  • Chodavaram
  • Ram Nagar
  • Madhurwada
  • Maharani Peta

Common Questions

Still unsure? Call 1800 202 8726.

1Is it normal to feel this way after a cancer diagnosis?

Yes. Worry, sadness, anger, fear and numbness are all common, and they can change from day to day. They are normal reactions to a hard time, not a sign of weakness. If they last most days for more than 2 weeks, or get in the way of daily life, talk to us.

2Is counselling free for CION patients?

Yes. Psychological support is free for CION patients, whether you meet in person, by video or by phone.

3Can my family come to the sessions?

Yes. Family can join your sessions if you wish, and carers can also have sessions of their own, with or without you.

4Can I talk in Telugu or Hindi?

Yes. Counselling is offered in Telugu, Hindi or English. Tell us which you prefer when you book.

5Is what I say kept private?

Yes. Sessions are confidential. Your counsellor will tell you what, if anything, is shared with your cancer team, and nothing is shared with your family without your permission, unless you or someone else may be at risk.

6What does a psycho-oncologist do?

A psycho-oncologist specialises in the emotional side of cancer. At CION, Dr. Mahati Chittem, a psychologist, and the psycho-oncology team help you and your family cope with worry, low mood, fear and hard decisions, during treatment and after it.

7What if I need medicines for anxiety or low mood?

Talking and practical ways of coping help many people, and are usually tried first. If medicines might help, your doctor may prescribe them or arrange for you to see a psychiatrist, and any medicine is checked against your cancer treatment.

8I’m being treated at another hospital. Can I still talk to CION’s psycho-oncology team?

Yes, you can ask. Call us and we’ll explain how sessions can work for you, and there’s no commitment to move your treatment to CION.

You Don’t Have to Face This Alone

Talk to CION’s psycho-oncology team about how you’re feeling, and find support that fits you and your family.

Feeling unsafe right now? Call 1800 202 8726, any time, or go to the nearest hospital emergency department.

This page explains psychological support at CION Cancer Clinics. It is general information, not medical advice: your counsellor and doctors fit support to you.

CallBook a session