Cancer Counselling in Southwark

Photo of Nina Guha, Psychotherapist, MSc, MBACP Snr. Accred
Nina Guha
Psychotherapist, MSc, MBACP Snr. Accred
5 Endorsed
Serves Area
BACP & NCPS Senior Accredited, with 22 yrs experience, I offer F2F, Online & Hybrid sessions to Couples, Families & Individuals. I have a particular interest in working with Adopted Families, Neurodiverse & LGBTQIA+ Clients. I work short-term, long-term or in single sessions. I accept Aviva and WPA Clients. For more information, visit - www.ninaguha . com
BACP & NCPS Senior Accredited, with 22 yrs experience, I offer F2F, Online & Hybrid sessions to Couples, Families & Individuals. I have a particular interest in working with Adopted Families, Neurodiverse & LGBTQIA+ Clients. I work short-term, long-term or in single sessions. I accept Aviva and WPA Clients. For more information, visit - www.ninaguha . com
020 3974 1857 View 020 3974 1857
Photo of Rebecca Wilson Green, Psychotherapist, MA
Rebecca Wilson Green
Psychotherapist, MA
Serves Area
This includes people affected by cancer - along with other health conditions such as stroke, HIV, diabetes, heart disease, COPD.
Creative Embodied Psychotherapy for individuals, couples, and people in polyamorous relationships - in Brighton & Hove, Lewes, East Sussex, and online (Zoom) across the UK. I welcome people who identify as LGBTQIA+ and people who are neurodivergent, including late-diagnosed or self-diagnosed autistic adults. I provide inclusive, non-judgemental support - particularly for people who have experienced stigma or discrimination in the past. I use talking therapy, mindfulness, body awareness, and creative expression - to help you to explore and understand your thoughts and feelings.
This includes people affected by cancer - along with other health conditions such as stroke, HIV, diabetes, heart disease, COPD.
Creative Embodied Psychotherapy for individuals, couples, and people in polyamorous relationships - in Brighton & Hove, Lewes, East Sussex, and online (Zoom) across the UK. I welcome people who identify as LGBTQIA+ and people who are neurodivergent, including late-diagnosed or self-diagnosed autistic adults. I provide inclusive, non-judgemental support - particularly for people who have experienced stigma or discrimination in the past. I use talking therapy, mindfulness, body awareness, and creative expression - to help you to explore and understand your thoughts and feelings.
01273 099027 View 01273 099027
Photo of Dr Kayode Akinsulire, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Kayode Akinsulire
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Southwark, London SE1
Welcome! My Name is Kay and I am a Counselling Psychologist registered with the HCPC. I base my practice in an integrative approach using Narrative, CBT, psychodynamic and person-centred interventions where appropriate. The healing power of the therapeutic relationship is crucial to my practice. I aim for this relationship to be restorative, in support of safety, learning and creativity. I have accrued experience of therapeutic work in different settings within the NHS and community-based charities. I provide therapy to everyone including clients of Asian and Black African/African-Caribbean heritage.
Welcome! My Name is Kay and I am a Counselling Psychologist registered with the HCPC. I base my practice in an integrative approach using Narrative, CBT, psychodynamic and person-centred interventions where appropriate. The healing power of the therapeutic relationship is crucial to my practice. I aim for this relationship to be restorative, in support of safety, learning and creativity. I have accrued experience of therapeutic work in different settings within the NHS and community-based charities. I provide therapy to everyone including clients of Asian and Black African/African-Caribbean heritage.
020 4538 8563 View 020 4538 8563
Photo of Fiona Hasani, Counsellor, MBACP
Fiona Hasani
Counsellor, MBACP
Southwark, London SE1
Welcome! I'm Fiona, a qualified and experienced therapist specialising in working with adults, couples, young people and children. My goal is to help individuals navigate life’s challenges and find a path to well-being. I offer a compassionate, non-judgmental space where you can safely explore your thoughts, feelings, and experiences at your own pace. I understand that everyone’s journey is unique, and I tailor my approach to meet your specific needs. Whether you're grappling with anxiety, depression, relationship difficulties, or simply feeling stuck, I'm here to support you in gaining clarity and achieving personal growth.
Welcome! I'm Fiona, a qualified and experienced therapist specialising in working with adults, couples, young people and children. My goal is to help individuals navigate life’s challenges and find a path to well-being. I offer a compassionate, non-judgmental space where you can safely explore your thoughts, feelings, and experiences at your own pace. I understand that everyone’s journey is unique, and I tailor my approach to meet your specific needs. Whether you're grappling with anxiety, depression, relationship difficulties, or simply feeling stuck, I'm here to support you in gaining clarity and achieving personal growth.
020 4572 0691 View 020 4572 0691
Photo of Sheila Harrington, Psychotherapist, MBACP
Sheila Harrington
Psychotherapist, MBACP
5 Endorsed
Southwark, London SE1
Are you feeling overwhelmed, anxious or stuck in patterns that no longer serve you? My ideal client is someone who longs for relief, clarity and a calmer inner world. Do you want to understand yourself more deeply and feel more grounded. My psychotherapy practice offers a warm, supportive space to explore your experiences, heal old wounds and build resilience. Together, we will work toward meaningful change and a more fulfilling life.
Are you feeling overwhelmed, anxious or stuck in patterns that no longer serve you? My ideal client is someone who longs for relief, clarity and a calmer inner world. Do you want to understand yourself more deeply and feel more grounded. My psychotherapy practice offers a warm, supportive space to explore your experiences, heal old wounds and build resilience. Together, we will work toward meaningful change and a more fulfilling life.
020 4538 7326 View 020 4538 7326
Photo of Josh Brostoff, Psychotherapist, MBBS, MBACP Accred
Josh Brostoff
Psychotherapist, MBBS, MBACP Accred
1 Endorsed
Southwark, London SE1
Hi, I'm Josh, a BACP accredited integrative psychotherapist and counsellor. I provide a safe, supportive, engaging space where we can work together to examine the things that are troubling you. I have worked extensively with people dealing with: anxiety, depression, addiction, relationship challenges, low self-esteem, loss and bereavement, ADHD and neurodiversity, gender and sexuality, and trauma. I’m someone who has been on their own journey of self-discovery, which has been at times painful and at times beautiful.
Hi, I'm Josh, a BACP accredited integrative psychotherapist and counsellor. I provide a safe, supportive, engaging space where we can work together to examine the things that are troubling you. I have worked extensively with people dealing with: anxiety, depression, addiction, relationship challenges, low self-esteem, loss and bereavement, ADHD and neurodiversity, gender and sexuality, and trauma. I’m someone who has been on their own journey of self-discovery, which has been at times painful and at times beautiful.
020 4572 1389 View 020 4572 1389
Photo of Marc Whittaker, Psychotherapist, MBACP
Marc Whittaker
Psychotherapist, MBACP
Southwark, London SE1
My role as a therapist is to work alongside you, offering a supportive, non-judgemental space where we can gently explore what you are experiencing at a pace that feels safe and manageable. Together we can address difficulties such as anxiety, hyper-vigilance, depression, dissociation, intrusive thoughts, addiction, and related challenges. I support you in building internal balance, strengthening emotional regulation, managing stress, and working through trauma, life transitions, and relational difficulties.
My role as a therapist is to work alongside you, offering a supportive, non-judgemental space where we can gently explore what you are experiencing at a pace that feels safe and manageable. Together we can address difficulties such as anxiety, hyper-vigilance, depression, dissociation, intrusive thoughts, addiction, and related challenges. I support you in building internal balance, strengthening emotional regulation, managing stress, and working through trauma, life transitions, and relational difficulties.
020 8090 5170 View 020 8090 5170
Photo of Deborah Bowman, Psychotherapist, PhD, BPC
Deborah Bowman
Psychotherapist, PhD, BPC
Southwark, London SE1
What brings people to psychotherapy is as varied and individual as the people who come. Some have specific concerns, such as anxiety, depression or low mood. Others are navigating significant life events, for example, parenthood, bereavement, illness, caring responsibilities, or divorce. Some want to understand themselves better and find a meaningful narrative for their lives and relationships. Others have noticed repetitions or patterns in their relationships with others, and perhaps with themselves. For some, the reasons for coming are not yet clear, but there is a sense that something warrants exploration or attention.
What brings people to psychotherapy is as varied and individual as the people who come. Some have specific concerns, such as anxiety, depression or low mood. Others are navigating significant life events, for example, parenthood, bereavement, illness, caring responsibilities, or divorce. Some want to understand themselves better and find a meaningful narrative for their lives and relationships. Others have noticed repetitions or patterns in their relationships with others, and perhaps with themselves. For some, the reasons for coming are not yet clear, but there is a sense that something warrants exploration or attention.
020 4572 6147 View 020 4572 6147
Photo of Rodney Cyrus-Reid, Counsellor, MSc, MNCPS Acc.
Rodney Cyrus-Reid
Counsellor, MSc, MNCPS Acc.
1 Endorsed
Southwark, London SE1
I am a qualified counsellor and psychotherapist working with children and young people, and adults. Prior to being a counsellor and psychotherapist, I worked in education and local authorities, before embarking upon my own intensive personal therapy journey for many years, which transformed my life. I draw upon my life experiences and training, and aim to provide useful insight during sessions. “Human beings have a basic tendency to fulfill their potential, to be positive, forward looking, to grow, improve, and protect their existence.”
I am a qualified counsellor and psychotherapist working with children and young people, and adults. Prior to being a counsellor and psychotherapist, I worked in education and local authorities, before embarking upon my own intensive personal therapy journey for many years, which transformed my life. I draw upon my life experiences and training, and aim to provide useful insight during sessions. “Human beings have a basic tendency to fulfill their potential, to be positive, forward looking, to grow, improve, and protect their existence.”
020 4572 6189 View 020 4572 6189
Photo of Corinne Martin, Psychotherapist, MBACP
Corinne Martin
Psychotherapist, MBACP
Southwark, London SE1
At some point in our lives, we will all experience troubles and difficulties. During these times its useful to explore our thoughts with an experienced therapist who can listen, understand and help us make sense of whats happening. I offer a space where we can work together, a place to slow down and stop overthinking, Especially now, as you are looking for a way to navigate: burnout, anxiety, anger, panic, sadness, trauma relationship, identity, sexuality, body image issues, numbness, adhd..or something not listed.
At some point in our lives, we will all experience troubles and difficulties. During these times its useful to explore our thoughts with an experienced therapist who can listen, understand and help us make sense of whats happening. I offer a space where we can work together, a place to slow down and stop overthinking, Especially now, as you are looking for a way to navigate: burnout, anxiety, anger, panic, sadness, trauma relationship, identity, sexuality, body image issues, numbness, adhd..or something not listed.
020 3835 4342 View 020 3835 4342
Photo of Milton Sattler - Milton Sattler Therapy, Psychotherapist, MSc, MBACP Accred
Milton Sattler Therapy
Psychotherapist, MSc, MBACP Accred
1 Endorsed
Southwark, London SE1
FREE Initial ONLINE 30-Minute Session. I am an experienced counsellor and psychotherapist with more than 10 years of experience in working with people of different sexual orientations, races, economic, social and cultural backgrounds and of different ages. I offer psychodynamic therapy, CBT, Gender Sexuality and Relationship Diverse (GSRD) Therapy, Intimate Partner Therapy (IPT) & Psychosexual Therapy or a combination of them tailored accordingly to the client’s needs or a combination of them tailored accordingly to the client’s needs. I am a Attachment Based Psychoanalytic supervisor trainee at the Bowlby Centre.
FREE Initial ONLINE 30-Minute Session. I am an experienced counsellor and psychotherapist with more than 10 years of experience in working with people of different sexual orientations, races, economic, social and cultural backgrounds and of different ages. I offer psychodynamic therapy, CBT, Gender Sexuality and Relationship Diverse (GSRD) Therapy, Intimate Partner Therapy (IPT) & Psychosexual Therapy or a combination of them tailored accordingly to the client’s needs or a combination of them tailored accordingly to the client’s needs. I am a Attachment Based Psychoanalytic supervisor trainee at the Bowlby Centre.
020 4538 5750 View 020 4538 5750
Photo of Ildiko Victoria Szatmari, Psychotherapist, MSc, MUKCP
Ildiko Victoria Szatmari
Psychotherapist, MSc, MUKCP
Southwark, London SE1
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
Welcome to a safe place to talk. There are many reasons why people reach out for help. It may be connected with relationship difficulties, feeling lonely, suffering a bereavement, experiencing anxiety, panic attacks, struggling with depression, trauma, anger, low self-esteem, or work issues. Sometimes there is nothing specific to name. I am a qualified, registered and experienced therapist, holding a degree in psychology and I have been professionally trained in psychodynamic psychotherapy. I am a member of the professional bodies UKCP and FPC.
020 3870 2948 View 020 3870 2948
Photo of Maya Starling, Psychologist, PsychD, HCPC - Couns. Psych.
Maya Starling
Psychologist, PsychD, HCPC - Couns. Psych.
Southwark, London SE1
I provide an open, warm and confidential space which enables clients to explore issues, which may have been difficult to deal with alone. I view therapy as an individual process and a journey of self discovery that create an opportunity to become aware of inner conflicts and unhelpful patterns of behaviour. I recognise that there is not one approach to therapy that will suit everyone. Hence, I incorporate integrative approach that means I can adapt therapy to each client and their individual needs. I can offer help and have worked with people struggling with a range of conditions including depression, anxiety or adjustment.
I provide an open, warm and confidential space which enables clients to explore issues, which may have been difficult to deal with alone. I view therapy as an individual process and a journey of self discovery that create an opportunity to become aware of inner conflicts and unhelpful patterns of behaviour. I recognise that there is not one approach to therapy that will suit everyone. Hence, I incorporate integrative approach that means I can adapt therapy to each client and their individual needs. I can offer help and have worked with people struggling with a range of conditions including depression, anxiety or adjustment.
020 8059 9937 View 020 8059 9937
Photo of Dr Elvis Langley, Psychologist, DCounsPsych, CPsychol
Dr Elvis Langley
Psychologist, DCounsPsych, CPsychol
1 Endorsed
Southwark, London SE1
I am a UKCP qualified Integrative Psychotherapist (UKCP) and Chartered Counselling Psychologist (DCPsych, CPsychol., AFBPsS). Everyone deserves to have someone in their lives who can listen compassionately and hold a space of non-judgemental understanding. I try to offer that space, first and foremost. While doing this, I seek to understand where things may have been difficult and hold in mind your potential for growth and change. The underlying core of my approach is based on respecting your needs and safety, as well as helping you bring out your innate wisdom and strengths.
I am a UKCP qualified Integrative Psychotherapist (UKCP) and Chartered Counselling Psychologist (DCPsych, CPsychol., AFBPsS). Everyone deserves to have someone in their lives who can listen compassionately and hold a space of non-judgemental understanding. I try to offer that space, first and foremost. While doing this, I seek to understand where things may have been difficult and hold in mind your potential for growth and change. The underlying core of my approach is based on respecting your needs and safety, as well as helping you bring out your innate wisdom and strengths.
020 3984 9270 View 020 3984 9270
Photo of Marsha Oza - Marsha Oza, Southwark Counselling & Psychotherapy, Psychotherapist, MNCPS Acc.
Marsha Oza, Southwark Counselling & Psychotherapy
Psychotherapist, MNCPS Acc.
Southwark, London SE16
At Southwark Counselling & Psychotherapy I work with individuals, couples and multiple partners. There’s no “right” reason to seek therapy. My clients come for many varied reasons including conflict, stress, anxiety, depression, low self-esteem, body image issues, disordered eating, addiction, compulsivity, issues around identity, anger, meaning-making, isolation, relationship challenges, life transitions, bereavement, trauma, and the effects of past trauma.
At Southwark Counselling & Psychotherapy I work with individuals, couples and multiple partners. There’s no “right” reason to seek therapy. My clients come for many varied reasons including conflict, stress, anxiety, depression, low self-esteem, body image issues, disordered eating, addiction, compulsivity, issues around identity, anger, meaning-making, isolation, relationship challenges, life transitions, bereavement, trauma, and the effects of past trauma.
020 4572 7254 View 020 4572 7254
Photo of Dr Vahishta Pardiwalla, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Vahishta Pardiwalla
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
Southwark, London SE1
Feeling overwhelmed or stuck? I'm Dr. Vahishta Pardiwalla, a seasoned Senior Counselling Psychologist committed to guiding you toward a fulfilling life. With a wealth of experience in both the NHS and private sectors, including complex care, I bring a depth of knowledge to help you navigate life's challenges. I adapt my therapeutic methods to fit your specific needs, ensuring that your journey is as unique as you are. drawing from diverse techniques like CBT, person-centered, and psychodynamic therapy.
Feeling overwhelmed or stuck? I'm Dr. Vahishta Pardiwalla, a seasoned Senior Counselling Psychologist committed to guiding you toward a fulfilling life. With a wealth of experience in both the NHS and private sectors, including complex care, I bring a depth of knowledge to help you navigate life's challenges. I adapt my therapeutic methods to fit your specific needs, ensuring that your journey is as unique as you are. drawing from diverse techniques like CBT, person-centered, and psychodynamic therapy.
020 4538 5328 View 020 4538 5328
Photo of Dom Alvarez, Psychotherapist, MBACP
Dom Alvarez
Psychotherapist, MBACP
1 Endorsed
Southwark, London SE1
I work with individuals and couples- providing a warm, calm, and non-judgmental space where you can explore your feelings, experiences, relationships, or life challenges. Whether you need a compassionate listener or a deeply reflective and analytical approach, I am here to support you. For couples, every relationship has challenges, but with support, growth is possible. We can improve communication, manage conflict, navigate transitions, and heal from grief or trauma.
I work with individuals and couples- providing a warm, calm, and non-judgmental space where you can explore your feelings, experiences, relationships, or life challenges. Whether you need a compassionate listener or a deeply reflective and analytical approach, I am here to support you. For couples, every relationship has challenges, but with support, growth is possible. We can improve communication, manage conflict, navigate transitions, and heal from grief or trauma.
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Photo of Joyline Schwitters - Dr Joyline Schwitters, Psychotherapist, PsychD, MUKCP
Dr Joyline Schwitters
Psychotherapist, PsychD, MUKCP
6 Endorsed
Southwark, London SE1
Troubling thoughts, feelings, emotions, & repetitive behaviors can be safely explored & understood with the help of an experienced therapist. I work with individuals, couples & run workshops. I help people who are experiencing a broad range of issues such as low mood, anxiety, low self esteem, anger, loneliness, rejection, infidelity, dependency, stuckness, eating disorders, abusive relationships, & seeking meaning in life. I use the psychodynamic model & CBT when necessary. Apart from being a therapist, I am a lecturer at the Institute of Couples Therapy where l teach on the postgrad course. Visit www.citysanctuarytherapy.com
Troubling thoughts, feelings, emotions, & repetitive behaviors can be safely explored & understood with the help of an experienced therapist. I work with individuals, couples & run workshops. I help people who are experiencing a broad range of issues such as low mood, anxiety, low self esteem, anger, loneliness, rejection, infidelity, dependency, stuckness, eating disorders, abusive relationships, & seeking meaning in life. I use the psychodynamic model & CBT when necessary. Apart from being a therapist, I am a lecturer at the Institute of Couples Therapy where l teach on the postgrad course. Visit www.citysanctuarytherapy.com
020 3962 1808 View 020 3962 1808
Photo of Anne Lucas, Counsellor, MA, MBACP
Anne Lucas
Counsellor, MA, MBACP
1 Endorsed
Southwark, London SE1
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
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Photo of Michelle Halabi, Psychotherapist, MUKCP
Michelle Halabi
Psychotherapist, MUKCP
Southwark, London SE1
Hello, I'm Michelle, a Chartered Psychologist, Integrative Psychotherapist, Clinical Supervisor and Reflective Practitioner. My experience ranges from various issues such as bereavement/grief, trauma, domestic abuse, postnatal depression, homelessness, personality disorders, mental/physical health problems, alcohol/substances issues, or relationship/work difficulties. Together, we can make meaning of personal loss, help you to better cope with the difficulties you are facing, address or work challenges and improve your relationship with a loved one. I also facilitate reflective practice as well as post-incident debriefs.
Hello, I'm Michelle, a Chartered Psychologist, Integrative Psychotherapist, Clinical Supervisor and Reflective Practitioner. My experience ranges from various issues such as bereavement/grief, trauma, domestic abuse, postnatal depression, homelessness, personality disorders, mental/physical health problems, alcohol/substances issues, or relationship/work difficulties. Together, we can make meaning of personal loss, help you to better cope with the difficulties you are facing, address or work challenges and improve your relationship with a loved one. I also facilitate reflective practice as well as post-incident debriefs.
020 3856 3495 View 020 3856 3495
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.