Beyond the Bell: Navigating Life as a Breast Cancer Survivor

After being diagnosed with breast cancer, reaching remission offers a deep sense of relief and even the high point of ringing the bell to signify the end of treatment. There’s also a much-needed adjustment back to a routine without frequent treatment and doctor appointments. Yet, for many in remission, the concern over potential recurrence turns into an endless “what if” mind loop. 

It is quite common for cancer survivors to feel trepidation about their cancer coming back. The trauma of a cancer diagnosis and related treatment can create a sense of skepticism or uncertainty about their future health.  

Some cancer survivors may have felt a loss of control over their own bodies, which can shake their self-confidence. It can also be disorienting to transition from the high-alert stage of active treatment to the relative quiet of life in remission. This adjustment can create a sense of discomfort.  

How to manage anxiety 

There are practical ways to regain confidence and manage anxieties so that survivors can optimistically move forward. 

• Be aware of the triggers. Over time, breast cancer survivors can learn what triggers their fears. Recognizing and acknowledging it when it occurs can help to stop or limit the resulting feelings of anxiety. 

• Maintain a routine. After the chaos of cancer treatment, it can help to develop and stick to a new daily routine. This creates a predictable structure that reduces stress. 

• Focus on the present. Rather than spiraling thoughts about the unknown or worries about what might happen in the future, survivors can focus on what’s actually happening in the present. This helps foster a sense of control and that things are OK. 

• Do things that bring happiness. Spend time doing things that bring comfort and enjoyment. Find hobbies or activities that provide happiness or are soothing, like playing music, gardening, walking outside, doing art, reading, cooking or spending time with friends and family. 

When to get additional help 

Sometimes, breast cancer survivors’ anxieties or fears can become so overwhelming that those feelings can interfere with their daily lives. When this happens, support groups and mental health professionals can offer help. 

Here are some signs that additional support might be needed: 

• Sleep disruption 

• Mood changes 

• Constant checking for new symptoms 

• Frequent need for reassurance 

• Avoidance of medical appointments  

• Drinking alcohol or using other substances to cope with fears of recurrence 

These are not the only signs that indicate the need for additional help. In general, if anxiety surrounding the fear of cancer recurrence is disrupting one’s daily life, survivors should talk with their doctor or oncologist. They can provide referrals to therapists, support groups or other forms of counseling. 

Crystal Lee is a medical director for Blue Cross Blue Shield of Michigan. For more health tips and information visit AHealthierMichigan.org.