By Sylvia Powers
Correspondent
Texas Metro News
A cancer diagnosis is often described as life-altering, and understandably so. It brings with it an overwhelming wave of medical treatments, physical changes, and lifestyle adjustments. Yet, amidst the focus on the physical aspects of cancer, the emotional and psychological toll often goes unnoticed or under-addressed.
Prioritizing mental health during oncology treatment can significantly impact both
quality of life and treatment outcomes.
“Many times, mental health issues go undiagnosed because we’re not accustomed to discussing them. When dealing with a serious illness like cancer, the primary focus is often on survival. Fortunately, Parkland has its own behavioral health oncology clinic, where we treat patients with pre-existing or newly developed mental health conditions,” said Carolina Peña, Mental Health Counselor for the Oncology Clinic at Parkland Hospital.
According to the National Library of Medicine, “A cancer diagnosis—regardless of tumor type—often involves an intense treatment regimen and a future filled with uncertainty regarding prognosis and quality of life. This inherently increases patients’ vulnerability to psychological distress and mental health crises.”
Peña emphasizes the importance of emotional support throughout a patient’s cancer journey. “The most important thing we offer is ongoing mental health care for patients in survivorship. We work closely with medical providers to ensure they are aware of the behavioral health clinic, helping patients address any fears, concerns, or distress they may experience.”
She further explained that proper emotional care significantly improves a patient’s ability to adhere to their treatment plan.
“We provide behavioral health support to any oncology patient struggling to cope with their diagnosis, treatment, or survivorship,” she said.
The Psychological Impact of Cancer
According to the American Cancer Society, nearly one in three cancer patients experience symptoms of anxiety or depression during their treatment. These challenges are often intensified by pain, fatigue, isolation, and the side effects of chemotherapy and radiation.
Pena highlighted the various mental health services available to oncology patients at Parkland, explaining how patients are referred to behavioral health specialists.
“We receive referrals from both doctors and nurses. Our services range from individual psychotherapy to group therapy and educational classes. In many cases, a patient will tell their doctor they are experiencing anxiety or distress, and the doctor will refer them to us. Physicians may also notice signs of emotional struggles and initiate the referral process,” Pena explained.
She also noted that depression does not correlate with the stage of cancer—meaning that even patients with early-stage cancer may require prolonged emotional support.
“I have had patients who, from a medical standpoint, have a very favorable diagnosis, yet they struggle with prolonged emotional distress. This could be due to pre-existing depression or significant life changes, such as family challenges, work stress, or financial strain,” she said.
The Role of Trauma and Faith in Healing
Cancer is frightening, whether it’s metastatic or stage one. However, Peña noted that the level of distress a patient experiences is highly individual and shaped by their past experiences.
“The fear surrounding cancer varies from person to person based on their history and personal circumstances. Many of our patients have experienced trauma or abuse, which must be taken into account when addressing their mental health needs,” she said.
Pena also acknowledged the role of faith in coping with cancer.
“I’m always encouraged when my patients have a spiritual foundation because faith can be a source of hope and resilience. It helps them stay calm and provides emotional support throughout their cancer journey,” she said.
A Holistic Approach to Cancer Care
Recognizing the crucial link between mental health and cancer treatment, Parkland Breast Oncology will partner with Behavioral Health this year to launch a support group for breast cancer survivors.
For too long, mental health has been an afterthought in oncology care. However, as research continues to highlight the connection between emotional well-being and physical health, it is clear that mental health must be an essential component of any cancer treatment plan.
