Cancer Therapists in M5C

Photo of Dr. Jessica Campoli, PhD, CPsych, Psychologist
Dr. Jessica Campoli
Psychologist, PhD, CPsych
Verified Verified
Toronto, ON M5C  (Online Only)
Hi there, and welcome! I'm a registered Clinical and Health Psychologist who is passionate about providing research-informed therapy that is infused with compassion and care. I provide virtual therapy for adults across Ontario. I work with a variety of clinical issues spanning both mental and physical health. My areas of practice include anxiety (general worry, social anxiety, perfectionism, panic attacks, phobias), depression, insomnia, trauma or PTSD, and coping with disease or illness (e.g., cancer, chronic pain). Additionally, I work in the areas of stress management and burnout, assertiveness training, and self-esteem.
Hi there, and welcome! I'm a registered Clinical and Health Psychologist who is passionate about providing research-informed therapy that is infused with compassion and care. I provide virtual therapy for adults across Ontario. I work with a variety of clinical issues spanning both mental and physical health. My areas of practice include anxiety (general worry, social anxiety, perfectionism, panic attacks, phobias), depression, insomnia, trauma or PTSD, and coping with disease or illness (e.g., cancer, chronic pain). Additionally, I work in the areas of stress management and burnout, assertiveness training, and self-esteem.
(289) 210-7431 View (289) 210-7431
Photo of Sara Gies, BSW, MSW, RSW, Registered Social Worker
Sara Gies
Registered Social Worker, BSW, MSW, RSW
Verified Verified
2 Endorsed
Toronto, ON M5C  (Online Only)
Hello & welcome! You may be seeking support for a new diagnosis - physical or emotional. You may be experiencing life stressors or you may be a caregiver seeking support to care for your loved one while maintaining your own wellness. I am honoured to support individuals through a variety of life stages including depression & anxiety, grief & loss, cancer care; diagnosis, treatment, survivorship, or at end-of-life and beyond. Our work together will be to create a life that is worth living and is in alignment with your values. We will aim to strengthen and build upon your existing resources in ways that feel good and authentic to you.
Hello & welcome! You may be seeking support for a new diagnosis - physical or emotional. You may be experiencing life stressors or you may be a caregiver seeking support to care for your loved one while maintaining your own wellness. I am honoured to support individuals through a variety of life stages including depression & anxiety, grief & loss, cancer care; diagnosis, treatment, survivorship, or at end-of-life and beyond. Our work together will be to create a life that is worth living and is in alignment with your values. We will aim to strengthen and build upon your existing resources in ways that feel good and authentic to you.
(226) 407-0534 View (226) 407-0534
Photo of Elisia Parmar, MA, RP(Q), Registered Psychotherapist (Qualifying)
Elisia Parmar
Registered Psychotherapist (Qualifying), MA, RP(Q)
Verified Verified
6 Endorsed
Toronto, ON M5C  (Online Only)
Hey! I'm Elisia, a registered psychotherapist (qualifying) with the College of Registered Psychotherapists of Ontario. I am dedicated to providing a safe and nurturing environment for clients to explore their emotions and thoughts. I tailor my approach to each individual's unique needs, utilizing a variety of therapeutic modalities. Emphasizing the importance of a strong therapeutic relationship, I am committed to supporting clients in overcoming life's challenges and achieving emotional well-being. Together, we can navigate obstacles and foster lasting change, empowering you to live a more fulfilling and balanced life.
Hey! I'm Elisia, a registered psychotherapist (qualifying) with the College of Registered Psychotherapists of Ontario. I am dedicated to providing a safe and nurturing environment for clients to explore their emotions and thoughts. I tailor my approach to each individual's unique needs, utilizing a variety of therapeutic modalities. Emphasizing the importance of a strong therapeutic relationship, I am committed to supporting clients in overcoming life's challenges and achieving emotional well-being. Together, we can navigate obstacles and foster lasting change, empowering you to live a more fulfilling and balanced life.
(437) 747-0982 View (437) 747-0982
Photo of Delia Reuben, HSC, BSW, MSW, RSW, Registered Social Worker
Delia Reuben
Registered Social Worker, HSC, BSW, MSW, RSW
Verified Verified
Toronto, ON M5C  (Online Only)
At times, life can be challenging. I've learned that these lived experiences are important in therapy. Whether it is a loss of a loved one, self-esteem, body image, family conflicts or care giver burnout…I’ve been there and I can help support you with that.
At times, life can be challenging. I've learned that these lived experiences are important in therapy. Whether it is a loss of a loved one, self-esteem, body image, family conflicts or care giver burnout…I’ve been there and I can help support you with that.
(437) 747-7272 View (437) 747-7272
Photo of Mary Kwan, Registered Psychotherapist (Qualifying)
Mary Kwan
Registered Psychotherapist (Qualifying)
Verified Verified
Toronto, ON M5C
Having practiced as a Clinical Psychologist overseas for 20 years, I am very familiar with all kinds of conditions. If you are having relationship with your spouse or others, I can help. You might be stressed out trying to parent your children, whatever age they maybe and esp for offsprings who have ADHD, Autism or learning problems, I love to help. Or you maybe depressed, anxious, wanting to work out your inner issues so that you can be a happy person, I am here to give you a hand. Or you might have a lot of pain/stress in your life, with various kinds of addictions not knowing where to do, I am here to help you find your way out.
Having practiced as a Clinical Psychologist overseas for 20 years, I am very familiar with all kinds of conditions. If you are having relationship with your spouse or others, I can help. You might be stressed out trying to parent your children, whatever age they maybe and esp for offsprings who have ADHD, Autism or learning problems, I love to help. Or you maybe depressed, anxious, wanting to work out your inner issues so that you can be a happy person, I am here to give you a hand. Or you might have a lot of pain/stress in your life, with various kinds of addictions not knowing where to do, I am here to help you find your way out.
(437) 747-8155 View (437) 747-8155
Photo of Julie Stevenson, BSW, MSW, RSW, Registered Social Worker
Julie Stevenson
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
Toronto, ON M5C  (Online Only)
Grief and loss: As a Certified Grief Recovery Method Specialist, I help grievers deal with the pain of emotional loss with a hands-on, practical approach that is evidence-based. Emotional challenges: are dysregulated emotions affecting your ability to function in the world in the way you would like? We can work together to regain a healthier version of you. Relationship dynamics: We all struggle with developing and maintaining healthy relationships. I can help you identify unhealthy patterns in your relationships (romantic, family, friendships, etc.) and work with you to improve your relationship skills.
Grief and loss: As a Certified Grief Recovery Method Specialist, I help grievers deal with the pain of emotional loss with a hands-on, practical approach that is evidence-based. Emotional challenges: are dysregulated emotions affecting your ability to function in the world in the way you would like? We can work together to regain a healthier version of you. Relationship dynamics: We all struggle with developing and maintaining healthy relationships. I can help you identify unhealthy patterns in your relationships (romantic, family, friendships, etc.) and work with you to improve your relationship skills.
(437) 747-7676 View (437) 747-7676
Photo of Michael Thunderblum, RP(Q), Registered Psychotherapist (Qualifying)
Michael Thunderblum
Registered Psychotherapist (Qualifying), RP(Q)
Verified Verified
1 Endorsed
Toronto, ON M5C
If you are reading this you are likely going through a hard time in your life. Perhaps you are processing a traumatic event, are trying to get back on your feet after being knocked down for the umpteenth time, or grieving the loss of someone, or something, precious to you? No matter what it is, I would like to try and help you overcome life's obstacles by untangling the knots of thought and feeling that hold you in place.
If you are reading this you are likely going through a hard time in your life. Perhaps you are processing a traumatic event, are trying to get back on your feet after being knocked down for the umpteenth time, or grieving the loss of someone, or something, precious to you? No matter what it is, I would like to try and help you overcome life's obstacles by untangling the knots of thought and feeling that hold you in place.
(437) 747-5139 View (437) 747-5139
Photo of Edna Aryee Ph D, PhD, RP (Q), Registered Psychotherapist
Edna Aryee Ph D
Registered Psychotherapist, PhD, RP (Q)
Verified Verified
Toronto, ON M5C  (Online Only)
Navigating the different pathways of life can be challenging, and often, no one understands your story, and you may feel lost in figuring things out on your own. I am here to SUPPORT you because you haven't come this far to stay stuck here! Like Michael Jordan, "Obstacles do not have to stop you. You don't turn around and give up if you run into a wall. You figure out how to climb, go through, or work around it." As an experienced therapist, I can challenge you to become the best version of yourself by creating a customized treatment plan to help you achieve optimal mental health. I am accepting NEW Clients (individuals & couples).
Navigating the different pathways of life can be challenging, and often, no one understands your story, and you may feel lost in figuring things out on your own. I am here to SUPPORT you because you haven't come this far to stay stuck here! Like Michael Jordan, "Obstacles do not have to stop you. You don't turn around and give up if you run into a wall. You figure out how to climb, go through, or work around it." As an experienced therapist, I can challenge you to become the best version of yourself by creating a customized treatment plan to help you achieve optimal mental health. I am accepting NEW Clients (individuals & couples).
(437) 800-2762 View (437) 800-2762
Photo of Janelle Rennalls, MSW, RSW, Registered Social Worker
Janelle Rennalls
Registered Social Worker, MSW, RSW
Verified Verified
Toronto, ON M5C  (Online Only)
My areas of focus and specialization are anxiety, depression, borderline personality disorder, relationship issues and emotional regulation. I am also equipped to work from a spiritual counselling framework if that is what you want. A spiritual connection and faith can be critical parts of one's experience.
My areas of focus and specialization are anxiety, depression, borderline personality disorder, relationship issues and emotional regulation. I am also equipped to work from a spiritual counselling framework if that is what you want. A spiritual connection and faith can be critical parts of one's experience.
(437) 291-8648 View (437) 291-8648
Photo of Mathura Thiagarajah, BEd, MSW, RSW, Registered Social Worker
Mathura Thiagarajah
Registered Social Worker, BEd, MSW, RSW
Verified Verified
1 Endorsed
Toronto, ON M5C  (Online Only)
I aim to create a supportive environment where you can explore and process difficult emotions and experiences, gain insights, and learn healthy coping strategies. I specialize in supporting folks with anxiety, depression, relationship issues, inter-generational/cross-cultural issues and trauma. I use a client centered approach, coming from a place of compassion, empathy and knowledge. I have experience working in health care, school systems, and in community settings.
I aim to create a supportive environment where you can explore and process difficult emotions and experiences, gain insights, and learn healthy coping strategies. I specialize in supporting folks with anxiety, depression, relationship issues, inter-generational/cross-cultural issues and trauma. I use a client centered approach, coming from a place of compassion, empathy and knowledge. I have experience working in health care, school systems, and in community settings.
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Photo of Tarik Kadri - Mindful Counselling Toronto, MSW, RSW, Registered Social Worker
Mindful Counselling Toronto
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
Toronto, ON M5C
I am a registered Social Worker, trauma therapist and clinical counselling supervisor. I have served in the Canadian Armed Forces recently retiring as a Captain - Social Work Officer. I have extensive knowledge and experience in treating clients who have experienced trauma or symptoms of post-traumatic stress disorder (PTSD). In addition to this specialization, I am trained in cognitive behavioural therapy for treatment of anxiety, depression, struggling with shame, decreased self-esteem/confidence, trauma, couples conflict, LGBTQ+ (Affirming), family issues and substance use concerns. Populations I've supported: pilots, teachers, police, engineers, lawyers, government, health care, transgender, students, baristas,
I am a registered Social Worker, trauma therapist and clinical counselling supervisor. I have served in the Canadian Armed Forces recently retiring as a Captain - Social Work Officer. I have extensive knowledge and experience in treating clients who have experienced trauma or symptoms of post-traumatic stress disorder (PTSD). In addition to this specialization, I am trained in cognitive behavioural therapy for treatment of anxiety, depression, struggling with shame, decreased self-esteem/confidence, trauma, couples conflict, LGBTQ+ (Affirming), family issues and substance use concerns. Populations I've supported: pilots, teachers, police, engineers, lawyers, government, health care, transgender, students, baristas,
(647) 694-3373 View (647) 694-3373
Photo of Miriam Klaczkowski, MSW, RSW, Registered Social Worker
Miriam Klaczkowski
Registered Social Worker, MSW, RSW
Verified Verified
Toronto, ON M5C  (Online Only)
My practice includes children, adolescents, couples and adults and I work collaboratively with their parents and families to form client centered and evidenced based solutions. My focus is on helping young people and adults to overcome obstacles and to learn the coping skills that they need to succeed. I work with a range of issues including eating disorders, trauma, compassion fatigue, PTSD, anxiety and depression.
My practice includes children, adolescents, couples and adults and I work collaboratively with their parents and families to form client centered and evidenced based solutions. My focus is on helping young people and adults to overcome obstacles and to learn the coping skills that they need to succeed. I work with a range of issues including eating disorders, trauma, compassion fatigue, PTSD, anxiety and depression.
(647) 797-9107 View (647) 797-9107
Photo of Laura Anderson, MSW, RSW, Registered Social Worker
Laura Anderson
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
Toronto, ON M5C  (Online Only)
Whatever may have motivated you to begin your journey in seeking support, I'm so glad you have taken this courageous first step. Whether you have recently experienced a loss or traumatic event, or are feeling overwhelmed, stressed, anxious, and not sure how to manage, counselling is a powerful tool to help you cope and thrive. My approach in counselling is warm and non-judgemental. I help my clients to realize the strengths within themselves, while helping them to tap into their inner resources, build resiliency, and enhance their "tool-box" of coping skills.
Whatever may have motivated you to begin your journey in seeking support, I'm so glad you have taken this courageous first step. Whether you have recently experienced a loss or traumatic event, or are feeling overwhelmed, stressed, anxious, and not sure how to manage, counselling is a powerful tool to help you cope and thrive. My approach in counselling is warm and non-judgemental. I help my clients to realize the strengths within themselves, while helping them to tap into their inner resources, build resiliency, and enhance their "tool-box" of coping skills.
(647) 370-6693 View (647) 370-6693
Photo of Jenna Caron - Holistic Wellness Therapies, MA, MSW, CPsych, Psychologist
Holistic Wellness Therapies
Psychologist, MA, MSW, CPsych
Verified Verified
1 Endorsed
Toronto, ON M5C
We are a team of dedicated & experienced Social Workers and Psychologists. If you are feeling lost, confused, unlike yourself, or simply want to understand yourself - we've got you covered. As a parent, if you are having difficulties with understanding your Childs emotions or behaviours, our highly experienced social worker can support you on your parenting journey. Our therapists help a variety of concerns including grief, depression, anxiety, OCD, burnout, stress, life transitions, parenting, identity, spirituality and so much more. We also offer psychological assessments and psychoeducational assessments. We are here to support!
We are a team of dedicated & experienced Social Workers and Psychologists. If you are feeling lost, confused, unlike yourself, or simply want to understand yourself - we've got you covered. As a parent, if you are having difficulties with understanding your Childs emotions or behaviours, our highly experienced social worker can support you on your parenting journey. Our therapists help a variety of concerns including grief, depression, anxiety, OCD, burnout, stress, life transitions, parenting, identity, spirituality and so much more. We also offer psychological assessments and psychoeducational assessments. We are here to support!
(343) 700-4399 View (343) 700-4399
Photo of Marlena Pedersen - Marlena Pedersen, RPsych, MA, Psychologist
Marlena Pedersen
Psychologist, RPsych, MA
Verified Verified
2 Endorsed
Toronto, ON M5C
I am honoured and privileged to build and develop a therapeutic relationship with you, based on trust, safety, and connection. I believe this is essential for supporting you in your journey of healing, as you navigate the complexities of this world. I use a brain-based and relational approach to therapy. I realize that our brain patterns are shaped by our relationships, and they can cause us to experience shame. I am passionate about working with teens, young adults, adults, couples and families, and helping them transform into confident and successful people with effective life skills.
I am honoured and privileged to build and develop a therapeutic relationship with you, based on trust, safety, and connection. I believe this is essential for supporting you in your journey of healing, as you navigate the complexities of this world. I use a brain-based and relational approach to therapy. I realize that our brain patterns are shaped by our relationships, and they can cause us to experience shame. I am passionate about working with teens, young adults, adults, couples and families, and helping them transform into confident and successful people with effective life skills.
(587) 844-2271 View (587) 844-2271
Photo of Sharon Xiao-Rong Zong, RP, RSW, MSW, Registered Psychotherapist
Sharon Xiao-Rong Zong
Registered Psychotherapist, RP, RSW, MSW
Verified Verified
4 Endorsed
Toronto, ON M5C
Waitlist for new clients
It’s natural to encounter various forms of difficulties in life, feeling sad, anxious, angry, lonely, stuck, and depressed. Counselling and psychotherapy sessions can help you! These emotions are natural and temporary, I believe all of my clients have their own ability and strengths to gradually overcome and improve. My role as your therapist and your ally is being with you and walk alongside your journey. I am willing to help you to better handle life changes and to make more positive changes. As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto..
It’s natural to encounter various forms of difficulties in life, feeling sad, anxious, angry, lonely, stuck, and depressed. Counselling and psychotherapy sessions can help you! These emotions are natural and temporary, I believe all of my clients have their own ability and strengths to gradually overcome and improve. My role as your therapist and your ally is being with you and walk alongside your journey. I am willing to help you to better handle life changes and to make more positive changes. As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto..
(647) 892-8984 View (647) 892-8984
Photo of Sevgim Kiper, Registered Psychotherapist (Qualifying)
Sevgim Kiper
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Toronto, ON M5C
Whether you are struggling with trauma, grief, depression, anxiety, relationships, life transitions, and/ or shame, I am honored to be part of your journey. Regardless of the issue, I value compassion and understanding clients through their own experience, and walking alongside them through their journey while providing clarity and insight.
Whether you are struggling with trauma, grief, depression, anxiety, relationships, life transitions, and/ or shame, I am honored to be part of your journey. Regardless of the issue, I value compassion and understanding clients through their own experience, and walking alongside them through their journey while providing clarity and insight.
(289) 272-2557 View (289) 272-2557
Photo of Cindy Owen, BA, RPT, MBT, Registered Psychotherapist
Cindy Owen
Registered Psychotherapist, BA, RPT, MBT
Verified Verified
Toronto, ON M5C  (Online Only)
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Stop pushing away your needs and not taking time for yourself. I am a Registered Psychotherapist with a degree in Psychology from McMaster University. I am a certified Mindfulness-Based Cognitive Therapy (MBCT) Facilitator. I specialize in mindfulness and meditation to heal with Buddhist wisdom.
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the to-do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Stop pushing away your needs and not taking time for yourself. I am a Registered Psychotherapist with a degree in Psychology from McMaster University. I am a certified Mindfulness-Based Cognitive Therapy (MBCT) Facilitator. I specialize in mindfulness and meditation to heal with Buddhist wisdom.
(226) 242-9645 View (226) 242-9645
Photo of Debongshi Chakma, RP, BA, (Hons), MA, Registered Psychotherapist (Qualifying)
Debongshi Chakma
Registered Psychotherapist (Qualifying), RP, BA, (Hons), MA
Verified Verified
2 Endorsed
Toronto, ON M5C  (Online Only)
Psychospiritual-oriented solution-focused psychotherapy. Hello! You have taken a vital step toward building a joyful life. I'm a psychotherapist and spiritual mentor. In my view, mental health and well-being are the most important factors at every stage of life. I work primarily using psychospiritual-based solution-focused therapy, but I often incorporate other modalities, such as cognitive behavioural therapy, humanistic therapy, and evidence-based practices, to toil the proper treatment you need. I create a space where you can safely share your story, feel supported, and understand your situation better to achieve your goal.
Psychospiritual-oriented solution-focused psychotherapy. Hello! You have taken a vital step toward building a joyful life. I'm a psychotherapist and spiritual mentor. In my view, mental health and well-being are the most important factors at every stage of life. I work primarily using psychospiritual-based solution-focused therapy, but I often incorporate other modalities, such as cognitive behavioural therapy, humanistic therapy, and evidence-based practices, to toil the proper treatment you need. I create a space where you can safely share your story, feel supported, and understand your situation better to achieve your goal.
(647) 370-3713 View (647) 370-3713
Photo of Jodie Schoenbeck, MSW, RSW, ExAT, Registered Social Worker
Jodie Schoenbeck
Registered Social Worker, MSW, RSW, ExAT
Verified Verified
4 Endorsed
Toronto, ON M5C  (Online Only)
Currently accepting new clients from Ontario and Manitoba. I work with youth, young adults, and mature adults (15-65+). Life is complex and challenging, and sometimes we simply need a safe space to be heard and supported. I value the opportunity to hear your story, and support you in finding a healing way to move forward. Every person has a unique lived experience, set of strengths, and inner wisdom. It may not feel this way to you, right now, and that's ok. Part of my role is to help you rediscover who you are today, building on all the skills and knowledge your already have. So you can move towards who you want to be tomorrow.
Currently accepting new clients from Ontario and Manitoba. I work with youth, young adults, and mature adults (15-65+). Life is complex and challenging, and sometimes we simply need a safe space to be heard and supported. I value the opportunity to hear your story, and support you in finding a healing way to move forward. Every person has a unique lived experience, set of strengths, and inner wisdom. It may not feel this way to you, right now, and that's ok. Part of my role is to help you rediscover who you are today, building on all the skills and knowledge your already have. So you can move towards who you want to be tomorrow.
(204) 400-5546 View (204) 400-5546
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Cancer Counsellors

How does cancer affect mental health?

A cancer diagnosis is a major life event that can significantly influence the mental health of any individual. Being diagnosed with cancer often introduces a sense of uncertainty about the future, which can cause clients to experience symptoms of anxiety, depression, and significant distress. Many cancer patients may also worry about the toll that their diagnosis may have on their family, their physical health, their job, and their financial situation. The compounding of such stressors can also decrease mental health in clients and may lead to additional symptoms that can influence mental health, such as sleeping difficulties or social withdrawal.

What is the best psychological therapy for cancer patients?

The best type of psychological therapy for cancer patients is highly dependent on the needs of the individual. The therapy type that a client benefits from may also depend on what stage of the cancer journey they are in. Recently diagnosed cancer patients, for instance, may benefit from therapies such as Cognitive Behavioural Therapy (CBT), which can help clients develop skills to manage the emotional distress that comes with a cancer diagnosis. Alternatively, cancer patients further along in their journey may benefit from therapies like Mindfulness-Based Stress Reduction (MBSR) or other forms of mindfulness therapy to help manage symptoms or physical pain associated with treatment. Clients may also consider group therapy, which offers cancer patients an opportunity to receive support from other individuals dealing with a cancer diagnosis.

Are there any risks or drawbacks in going to therapy while dealing with cancer?

Although attending therapy while dealing with a cancer diagnosis can be helpful, one major concern for cancer patients can be the financial cost of seeking therapy. Many therapists are out-of-network, meaning they do not accept insurance, and thus clients are expected to pay the entirety of the session fee. Since many cancer patients may be out of work as a result of their diagnosis or cancer treatment regimen, the costs of therapy sessions can be substantial. Luckily, many cancer centers and local clinics may offer free or substantially reduced-cost counselling services to cancer patients and their families. In addition, cancer patients may be eligible for grants or other forms of funding from local agencies and nonprofits to seek therapy for their cancer diagnosis. Such opportunities can be very helpful for cancer patients, as they allow clients to obtain the benefits of therapy without the financial strain.

How long does cancer therapy typically last?

The length of cancer therapy depends on the needs of each client. In some cases, cancer patients may only require therapeutic support during the period following their initial diagnosis—to help manage the uncertainty and shock of a cancer diagnosis. In other cases, clients may choose to receive therapy throughout their treatment, and even following, their cancer journey. Pursuing therapy for a longer period of time can help clients develop a deeper relationship with their therapist and provide opportunity to process the challenges presented by cancer treatment, such as physical pain, and challenges associated with cancer survivorship, such as ongoing identity concerns, physical limitations, or relationship challenges.