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Re: Coping with life's difficulties

Hi @Till23, I hope everything is going well for you.

I have been busy with my studies.  We had a full day workshop last week for crisis and suicide intervention (that's always a fun day!) and the past 2 days we had full assessment days to finish off unit 2.  I came out of the assessment day on Tuesday thinking peer work wasn't something I could do.  My final role play involved helping someone with a safety plan.  I've never done one and i've never needed one so i went at it like an IT person would.  Give us a form or template and we will mine for as much information as we can to fill it out with as much information as we can.  So the student who I did the role play with (she played the client - and said she's done a LOT of safety plans fro herself in th past) said at the end she turned out half way through because I was firing too many questions because I was trying to fill everything out with too much.  A good learning experience for sure, but I did come out thinking 'this is something I can do'.  Not only because of the safety plan, but because the general talking to the client in the roleplay, I do struggle a bit with because I've never been that good at talking with people and it's only something i've tried to improve the past year or so, so I do feel way out of my depth when the subject is out of my own lived experience... which doesn't really seem to count for much with a lot of the scenarios we do.  And being such a large part of peer work, I just felt a bit lost.

 

Fortunately I had a better day yesterday.  I was talking to my lecturer during a break, and the subject of adoption came up.  She mentioned she had been talking to the person who runs their (Relationships Australia SA) PASS (post adoption support services) program which I do get support from.  Apparently they are looking to start using a peer worker next year for PASS ans she didn't know I was doing this course.  So my lectured asked my if it was true I was doing peer work with cancer council and if I'd be interesting in the PASS role if it goes ahead?  So I said, health willing, I'd definitely be very interested in it.  I'd do it for free, but I didn't mention that. 😁

Speaking of health... yeah no much has changed yet, expect mentally.  It's just getting harder and really struggling with this waiting.  Knowing it will be stage 4 before too long at this rate and then things will really hit the fan!  It just feels like waiting for the beginning of the end, and it's getting so hard to keep it out of mind.  The things I do do, just seem to me doing them on mental 'autopilot' at the moment. The not having any family support around the past 3 years really is starting to take it's toll as the pressure of having to deal with so much on my own is definitely really starting to have a noticeable affect.  And if i'm noticing it, well, it must be a big change!  Maybe I'm just getting more self aware with the MH training.. who knows.

Oh, that sounds frustrating about your psych.  Is it just losing a bit of trust talking to them, or something else?  Since i've been seeing them, I've always found it to be a bit of a mixed bag and very up and down relationships with them.  My current one is good, but I don't get to see her very often.  I last saw her two weeks ago, and the next appointment isn't for another 5 weeks!  So it's a lot of time to 'go backwards' inbetween appointments.  I hope sorting it out with them goes smoothly and easily.  It's the last thing that's needed is stress and anxiety about seeing a psych!  When do you see them next?

Re: Coping with life's difficulties

Hi @MJG017 sorry for the delayed reply.

You sound like you've been very busy with your studies.

Do you have to travel far for the in-person role plays?

No one can know everything and everyone has different experiences with their mental health as you know from the forums.

You've been very good with the things within in your experience though and as you are only too aware, people with cancer, or even other terminal disease need MH support.

Then to find out about the adoption peer support is brilliant. 

I really hope that works out for you.

I feel you need a bit of a boost and distraction away from your own health problems.

With dealing with your health stuff on your own, do you feel you can talk to your partner?

I know it's not the same but aren't you seeing a counsellor/psychologist for the cancer related stuff?

Apart from my psych I deal with my physical health stuff myself too.

With my psych I have seen them since I last posted and they said they would rather I see someone else with more experience in dissociative cPTSD (like I'm going to find that person in the place I live). So I'm feeling very alone now. I went quite on the forums and in general life, not leaving the house for days etc. Then I thought F it. I'm just going to put one foot in front of the other like I always have and just keep going by myself - I've had a lifetime of practice with that after all!

I look forward to hearing about your new peer support role

Do you have the rest of this year to go on your peer worker course?

Re: Coping with life's difficulties

Hey @MJG017 I just quickly logged on to send something I’m logging off again, but will be back on later.

I just saw this in my ABC news feed. I thought it was extremely topical for you. I’ll be back

https://newsapp.abc.net.au/news/2025-07-14/prostate-cancer-androgen-deprivation-therapy-mental-healt...

 

Re: Coping with life's difficulties

Hi @Till23, I just quickly logged on myself while I'm waiting for an appointment at the Cancer Council.  Traffic was light so I got her a bit early.  So I will reply to your previous post when I get back home, but just wanted to thank for you pointing out that story.

One of the prostate nurses I work with for the group pointing it out to me this morning, so I've posted it to the group to let everyone else know.  It's a massive issue for a lot of guys on ADT.  Coincidentally, someone posted in our group this morning about he stopped taking his 2 weeks ago without telling his oncologist because he wanted a bit of a break.

I was also told ABC TV are apparently covering this on Australian Story tonight.

There is a big push by the PCFA to get more attention on this issue and get better support, especially mentally, for men on ADT.  Hopefully this coverage can bring some attention to it.

Re: Coping with life's difficulties

Yes @MJG017 I'm pretty sure it is going to be on Australian Story tonight. That and it being on ABC will get a fair bit of attention on the issue, which will be good. Even just people knowing they are not the only ones helps I think.

It's an issue for women too, with oestrogen/progesterone driven cancers like breast and ovarian because women are given oestrogen deprivation therapy and and especially if they have their ovaries taken out to reduce oestrogen further. If they are young that's an early menopause and we get osteoporosis, skin, sexual, musculoskeletal (muscle loss, joint aches) cardiac etc issues. But it is never talked about, because effect on breasts like mastectomy or double mastectomy gets talked about and then that's it and being women everyone just thinks women have to put up with menopause symptoms and obviously women aren't allowed to talk about libido or sexual function. A lot of women stop taking oestrogen deprivation therapy within 5 years. Also like blokes, there is little psychological support post surgery, chemo and radiotherapy. 

Re: Coping with life's difficulties

@Till23 

I'm not sure what it is, but there does seem to be a perception out there that when you're getting life saving (or extending) cancer treatment, that it's not a big issue because it's saving your life or keeping you alive... so everyone is happy getting it.  I've talked about this at a few workshops/studies, that no one prepares you at the start for the mental stress.  You get told about all the physical effects you're likely to encounter, but the mental side effects are never really talked about.  You basically discover them for yourself.  Then you think no one mentioned it, so it must just be me.  And you keep it to yourself.  And if you don't have many (if any) family or friends around to support you... well that's just a 'you problem'.  I have been asked multiple times by doctors and nurses if I have much family support around me.  When I say no, the topic just ends.

 

My studies are over now until next term... it finishes at the end of the year.  I was given a link to a short online course about 'Supporting people affected by adoption' by my lecturer after that conversation we had.  It's a course they provide themselves.  So that will give me something to do during the break.  It's not very long, but it should be very interesting.

 

The place I have to go to for the in-person stuff is just outside the city.  It's about an hour drive at the moment if I have to be there early because of peak hour traffic and the endless amount of roadworks going on here in Adelaide.  It's about 30-40 mins if I have to be there early afternoon.

 

I do talk to my partner a little bit about how i'm feeling with everything.  We are a bit similar in this regard, so we both tend to keep things to ourselves until it gets a bit much and we both get upset.  Then we talk about it.  Not ideal, but we're getting better at it.  And we understand when the other gets upset so neither of us take it personally as we both understand the need to release it sometimes.  It has only happened about 3 times so far, which is probably not enough talking about it overall.  But she is coming with me to my next psych appointment, but that's not until August 12th!

I saw the counselor at the Cancer Council this afternoon, my 3rd session with her.  I'm not sure how I felt about it.  She brought up a few things that gave me things to think about, but also a bit of a knock to my confidence.  For example, when I told her how I was feeling she asked if I felt it as true that I hadn't improved since I started going there.  I said no.  But it immediately brought up memories of the first psych service I tried where I was eventually pressured into discharging myself.  Like how much is a person in a position like mine supposed to improved in 3 sessions?!  Hopefully it's not the way she meant it.  There was a few other things, but I'd be here typing the rest of the afternoon if I started on it at the moment. 😔

 

What is it with psych's seeming wanting to endlessly palm us off?  It's really starting to feel this way to me.  I get that they may feel we have issues that someone else would be better suited to, but there's ways to talk about that and ways not to.  Plus it's a bit dismissive and presumptuous in assuming it's so easy to access these options.  So i do understand only too well that sense of feeling alone.   Like you' I've had a lifetime of practice so reasonably well equipped to keep myself going.  But it feels like I shouldn't have to.  Like it shouldn't be this hard.  I don't know, I think i'm just a bit frustrated and over it all.  If you want a job done right... do it yourself! 🙂

Re: Coping with life's difficulties

Oh wow @MJG017 that's sounds great that you are able to move forward (in a pretty timely manner I might add) to an area that you are passionate about and really makes good use of your lived experience with the adoption stuff. This peer work course seems to have worked out well for you.

 

Well having lived in Sydney where it was an hour in the morning to get to work and an hour and a half home at night, I'd probably find that a breeze but when I moved here and they said it might take 30mins to get home some nights are you sure you want to live all the way out there? I thought oh maybe I was doing a lot of commuting!

But your is a bit of a commute - lucky you only have to go a few times a term?

 

Just to let you know I've got a bit riled up in this post. I am going to put everything in a trigger warning, just because I'm mindful other people don't like medical stuff and others on here may be going through have a relative etc going through cancer traetment

 

TW: Mentions medical treatment and side effects

 

Content/trigger warning
Mentions medical treatment and side effects

Yes, it's the old problem with MH no-one really took it that seriously earlier when they just threw people into asylums basically to wait until they died (who wouldn't top themselves, some of those places were worse than prisons). Then nothing was in place when they closed the asylums and now because no one took it seriously earlier there is no precedent so it just lags behind as an under funded, under-infrastructured bolted on to other parts of medicine thing.

So now to try to get around that everything is this session limited treatment crap because there's no money and we are not training enough people. It was great for governments when there was heaps of stigma around MH because there appeared not to be any call for it, but people were in misery, living in ridiculous circumstances or dead.

 

I really had good service at psycho-oncology but it was 6 sessions with possibility of 2 more in special cases. You just found out you have a disease you might die from, they cut a bit out of you, which in my case is pretty obvious and can't wear tightish clothing without it being noticeable (and mine is not as bad as some people with double mastectomies etc), not to mention if you had something on your face or neck, which would be worse, you have to endure radio or chemo or both, so you are tired and sick and if your hair falls out etc everyone is looking at you again. You might not be able to work, financial problems, depending where you live transport and accommodation problems, family responsibilities etc - but don't worry we can fix that in 6 sessions and you haven't even started on the long-term therapies like hormone deprivation. 

 

Then there's the well your life was saved now just get on with it, you should be appreciative that you're still here etc etc.

But even still I don't think they go through all the physical stuff that much. Like do people really understand about osteoporosis risk and for women increased cardiac risk, do you think you really understood the muscle loss and how that effects you. I've had a lot of wastage and I'm training like 3 times a week. Sexual function and that stuff - not discussed and many women have mentioned that even when their partner is in room. In my case you might well no partner, but you need oestrogen for non-sexual function of some of those parts, increased urinary tract infection risk. Change in body hair distribution, if you have hadly any oestrogen and you still have testosterone - because women have testosterone throughout their lives - then yes you might start to get facial hair! And obviously with these increased perfect body standard - that's just one embarrassing thing you have to negotiate.

Like this stuff is not going to affect your MH!

I love it when you're on here I feel like I can say stuff I can't say to others, because they just don't get it.

I hope it's not too much though - don't be afraid to let me know. I'm a bit fired up tonight. I think that's because I might be going to my last psych session tomorrow.

I love it when you're on here I feel like I can say stuff I can't say to others, because they just don't get it.

I hope it's not too much though - don't be afraid to let me know. I'm a bit fired up tonight. I think that's because I might be going to my last psych session tomorrow.

Re: Coping with life's difficulties

I am really happy to see that you both have each other here @Till23 @MJG017 🩷

Re: Coping with life's difficulties

Yeah @MJG017 It's on Aust Story on ABC in 20mins for you

Don't forget you can see it ogn iView as well

I will re-watch it as well, because you miss stuff

Okay - It's almost over here - if you watch it I'm going to be on and off until midnight in case you want to chat

Re: Coping with life's difficulties

Hi @Till23, sorry about taking a while to get back to you.  I've had a few appointments and support groups stuff to attend to, as well as my partner's father has, and still is, in hospital.  So a lot of stuff going on at them moment.  And obviously spending this extra time is a hospital, even as a visitor, can take a bit of a toll and brings up a lot of things.

You definitely sounded fired up!  But everything you said is true and o much of this is so neglected, misunderstood, and dare I say... intentionally ignored.  Getting professional support is a task in itself, getting that support who understands and doesn't dismiss how you feel is another thing entirely.  A quick tip for any counselors/psychologists out there... If you have a time limited session (which most are), don't ask some deep question or delve into something important when there's a minute left, so that the other person can really start to discuss it and dig into some thoughts and feelings that are confronting... only to hear "sorry, that's our time!" soon after they get started talking about it.  And if one more 'therapist' tells me that 'anyone could be gone tomorrow' I'm going to scream.  I'm fully aware of the point you are trying to make, but you know it's not the same thing!  It doesn't help!!  There's a reason we don't all lay awake at night worrying about being hit by a bus the next day, or some other freak accident.

I had an appointment with a my counselor a few days ago.  We were about 10 minutes into our 3rd session and i talked about how I was feeling like my thoughts and general motivation and outlook hadn't really improved and that it all still just felt numb and the same overall sense of inevitability.  So she asked my if I felt like I hadn't improved since our first session.  I've had 2 full sessions, with a little bit of the third...  the first one was mainly going over my situation... and now i'm supposed to be doing better?  Maybe she was just clarifying how I was feeling, which is fair enough, but it just brought back that feeling I had a year ago when I was pressured to discharge myself from the onco-psychology service I was using at my local hospital.  That same feeling of "do I need to pretend i'm doing better than I am next session?" returned and the past time I just gave up psychology all together.  But that was straight out pressure to not come back and there wasn't much room for interpretation.  The "you're making me feel bad because you keep coming back and I feel like i'm not helping you" followed by "You're using these sessions as a crutch, because you know you can just keep coming back, so you're not trying to improve" is that sort of read-between-the lines subtlety that even a social inept fool like myself can detect.  If you don't feel like you can help me, TELL ME!  Be honest FFS.  I'd much appreciate and prefer that so I can move on without being made to feel like it's all my fault or my failing.  But... you know, I wouldn't want to make you feel like you had a bad day at work.   

Okay - <deep breath>.  I was just going to mention what the counselor told me on Monday and how it brought some stuff back for me... I think I blacked out and just kept writing at that point! 😌

 

Anyway... you mentioned you got riled up for your previous post.  I get that. 😁  And don't worry, I doubt you could write anything that I would feel is 'too much'.  That's not a dare by the way. 😀  As @AuntGlow mentioned, it is great to have someone to talk about these things, because there's very few people who will.  Even other people going through cancer can be very reluctant to talk about the really challenging stuff.  I wonder if a lot of counselors/psychs understand that they may only see the worst of us.  By that I mean we have to maintain this positive, optimistic front with so many people and that when we get to talk about our struggles with a MH professional it all just comes out.  Our lives aren't all thoughts and feelings of doom and gloom... but they are there at times, and what better person to dig into them with?!  

I think this is why I feel like the clinical psych i've been seeing over the past few months is so good.  We do talk about the good things, but we also talk about the things that really upset and worry me.  And she doesn't dismiss any of it.  Ive never felt once talking to her that I wasn't improving fast enough or that I was struggling too much.  The only real issue I have is it can take a while between appointments because she's so booked up.  My last appointment was 3 weeks ago, and the next available time was in 4 weeks from now!  So it can be a fair time between appointments.  

Speaking of appointments, how did you last one go?  You mentioned that it may be your last one.  Are they giving you any more?  Assuming you wanted to continue them of course.  I know i'm counting mine off until my last one, but it's made somewhat easier by knowing I can hopefully see her for another 10 visits next year.  Or if I do need a few more this year, I can just pay and take the financial hit without getting anything back from medicare.  Hopefully she just doesn't leave or get a job somewhere else.  

 

I did watch that ABC program after no being completely convinced I should.  It was emotional, but not too much.  It's definitely such an important story to tell and just how much damage the neglecting MH support with, not just cancer, but so many things can bring.  Maybe this can shine a bit of a spotlight on it and bring some much needed serious discussion on the subject and maybe we can start to see some more positive changes.   
 

As soon as she talk about about being at that ABBA tribute band concert and her husband said it wasn't his thing and left, I just knew where it was going and I thought can it just happen like that?  I know they talked about him having issues with depression before he was diagnosed, let alone started on ADT, but you can't help but think about what was going through his mind when he told his wife he didn't want to listen to the music anymore.  It's that pressure that just builds and builds.  And is exacerbated by trying to keep the pain to yourself.  If that story doesn't tell the need for far better MH support, I'm not sure what will.  It brought to mind someone I know.  He just finished his 3 years of ADT late last year.  He actually asked to finish it 2 months early because he'd had enough of it.  His PSA is now creeping up but he says he definitely doesn't want to go on to ADT again.  So hes been looking into all these herbal supplements and remedies.  I worry about when the PSA gets too high and he's face with that choice when he's told he needs to go back on it.  Either he'll decide not to, and with Gleason 9, it would probably be bad news.  Or he will decide to go back on, but the depression may get too much a 2nd time on it.

I hope you're doing okay and once again, I really appreciate these chats with you and its great to know you find it helpful to share these things with me as well.