Breast Cancer Awareness Month: Beyond the controversy of screening
October 2, 2013
Breast Cancer Awareness Month has been one of the most successful campaigns to raise public awareness in recent history. Unfortunately, in terms of successfully reducing breast-cancer mortality, the results have been mixed, which has caused fierce debate among doctors, researchers, non-profit groups and patients.
"Embedded in the message driving the campaign every October includes instruction to women to strongly consider getting screened for breast cancer, which is often asymptomatic during the early stages, in the hopes of finding cancer before it metastasizes," says cancer psychotherapist Dr. Niki Barr, author of "Emotional Wellness, The Other Half of Treating Cancer,"
Debate over the efficacy of screenings has arisen as new studies reveal possible shortfalls: self-examinations haven't been proven effective; younger women experience false positives due to denser breast tissue, as well as missed positives, despite clinical examinations; and recently published studies such as The New England Journal of Medicine's findings on three decades of screening have been mixed, Dr. Barr says.
The latter found that screenings did reduce late-stage cancer rates, to a small extent, but mammograms also drastically increased over-diagnosis and unnecessary treatment, including surgeries, toxic drugs and an incalculable amount of stress and suffering, she says.
"I think each woman needs to consider screenings on an individual basis. Family history, age and other risk factors should be considered in their decision," Dr. Barr says. "It's equally important to remember that, should you or a loved one be diagnosed with breast cancer, you should care for your emotional well-being as much as you take measures to restore physical well-being."
While doctors, nurses and medical staff tend to your body, you can tend to your mental health with some of these exercises she recommends to her patients:
"Catch" anxious feelings before they become anxiety. Prevent anxious thoughts from becoming full-blown anxiety by "catching" those feelings before they intensify. If you find anxious thoughts repeating themselves in your mind, take out some index cards and a pen and write them down, one by one, one per card. When you've written them all down, try to identify which one thought started the chain reaction. Then find the thought that came next. Continue until you have each thought in order. Now, go back to the first thought and write down a new thought that does not make you feel anxious. When the first thought comes to mind, substitute it with the second thought. Continue through the list until you have positive, empowering thoughts for each negative, anxious one.
Release painful feelings and then let them go: Writing down painful thoughts and feelings through journaling is an excellent way of exorcising them. Some people find rereading what they've written can be helpful, but others hesitate to use this tool for fear someone will find it and read their private thoughts. For those people, Barr suggests an extra measure of release: Shred the pages while focusing on "letting go" of those feelings.
Give your mind respite by escaping through music and meditation: Music is a tonic for many things: It can help us relax, lift our spirits, provide an escape from anxious thoughts and the here and now. Always have favorite CDs easily accessible so you can escape with music whenever you need to. Meditation CDs are available to help you learn how to meditate and to provide guided imagery for meditation, which is scientifically proven to trigger soothing chemical changes in the brain. Try "Meditation for Beginners" by Jack Kornfield or "Guided Mindfulness Meditation" by Jon Kabat-Zin. Finally, sleep is an absolute must for both physical and emotional health. If you're having trouble sleeping, there are CDs and downloads to help! Try "Sleep Through Insomnia" by KRS Edstrom.
"Having an actual box, with three-dimensional items, gives patients something tangible to use during a confusing time," Dr. Barr says.