Cancer Therapists in Sunderland, MD
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Caroline Batchelor Moore
Psychologist, PsyD, MS, BBA
Verified Verified
Dunkirk, MD 20754 (Online Only)
I enjoy helping clients seeking to make changes in their lives to improve their well being, relationships with others & make better choices for healthier lifestyles. Sometimes life brings new challenges, and suddenly you may find yourself confused, anxious & unable to move forward. I have 20+ years experience working with clients with depression, anxiety & life transitions. I am a working mother with two kids including a disabled child, and I am also a cancer survivor. Last year, I lost my father, a Vietnam Veteran, due to complications of Alzheimer’s. I understand loss, panic & the stress of being a working mother.
I enjoy helping clients seeking to make changes in their lives to improve their well being, relationships with others & make better choices for healthier lifestyles. Sometimes life brings new challenges, and suddenly you may find yourself confused, anxious & unable to move forward. I have 20+ years experience working with clients with depression, anxiety & life transitions. I am a working mother with two kids including a disabled child, and I am also a cancer survivor. Last year, I lost my father, a Vietnam Veteran, due to complications of Alzheimer’s. I understand loss, panic & the stress of being a working mother.
Stefanie Whalen is a Licensed Clinical Professional Counselor. She has worked in Women's and Children Services at Anne Arundel Medical Center. There she worked with new mothers, parents of preemie babies and with at-risk youth. She has worked with children and adolescents with ADHD, anxiety, anger, depression and behavioral issues. She held several support groups for children of divorce and children whose families were just beginning the divorce process. Stefanie has worked with parents and children teaching effective communication methods, working with boundaries and teaching acceptance. She provides marriage counseling, individual counseling for adults and Family Counseling.
Stefanie Whalen is a Licensed Clinical Professional Counselor. She has worked in Women's and Children Services at Anne Arundel Medical Center. There she worked with new mothers, parents of preemie babies and with at-risk youth. She has worked with children and adolescents with ADHD, anxiety, anger, depression and behavioral issues. She held several support groups for children of divorce and children whose families were just beginning the divorce process. Stefanie has worked with parents and children teaching effective communication methods, working with boundaries and teaching acceptance. She provides marriage counseling, individual counseling for adults and Family Counseling.
Maryland Mediation (dot) Services
MSW, CAC-AD-, CTS, CCMC, Mediato
Verified Verified
1 Endorsed
Prince Frederick, MD 20678 (Online Only)
Susan Saunders, MSW,Mediator/ Parenting Corridinator, envisions her ideal client as someone struggling with divorce, child custody and visitation with complex emotional turmoil, perhaps stemming from interpersonal conflicts, traumatic experiences, or challenging life transitions. These individuals seek resolution, understanding, in the process of divorce their issues may include unresolved trauma, communication breakdowns, or navigating difficult relationships. Their needs revolve around finding a safe space to express themselves, gain perspective, and work towards solutions that honor their well-being and dignity.
Susan Saunders, MSW,Mediator/ Parenting Corridinator, envisions her ideal client as someone struggling with divorce, child custody and visitation with complex emotional turmoil, perhaps stemming from interpersonal conflicts, traumatic experiences, or challenging life transitions. These individuals seek resolution, understanding, in the process of divorce their issues may include unresolved trauma, communication breakdowns, or navigating difficult relationships. Their needs revolve around finding a safe space to express themselves, gain perspective, and work towards solutions that honor their well-being and dignity.
Heidi Tracey Llc
Counselor, MA CAS, LGPC, NCSP
Verified Verified
Prince Frederick, MD 20678 (Online Only)
Whether you are going through a life transition yourself, struggling emotionally, facing an impending loss, or a circumstance that makes you feel like you have no control over your life, it can be difficult to try to keep moving forward. Are you having trouble controlling the intensity of your emotions? Making unhelpful choices? Experiencing negative impacts to your personal life? Professional/school life? Having trouble understanding your actions or the actions of others? Struggling with negative thought patterns? Lacking the skills to deal with the heavy stress you are feeling? Struggling to take clear steps to reach your goals?
Whether you are going through a life transition yourself, struggling emotionally, facing an impending loss, or a circumstance that makes you feel like you have no control over your life, it can be difficult to try to keep moving forward. Are you having trouble controlling the intensity of your emotions? Making unhelpful choices? Experiencing negative impacts to your personal life? Professional/school life? Having trouble understanding your actions or the actions of others? Struggling with negative thought patterns? Lacking the skills to deal with the heavy stress you are feeling? Struggling to take clear steps to reach your goals?
Empowered Connections, LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
5 Endorsed
Dunkirk, MD 20754
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide 4 girl/teen girl experts to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. We have a new location in Bethesda now! Offering virtual therapy for the entire state of Maryland & DC!
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide 4 girl/teen girl experts to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. We have a new location in Bethesda now! Offering virtual therapy for the entire state of Maryland & DC!
Michele L Wilbur
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Owings, MD 20736 (Online Only)
Sometimes day to day life can be a challenge to cope with. Maybe life circumstances cause you to feel anxious, depressed or frustrated with daily life. Whether you are struggling with a relationship, grieving a loss, going through a divorce, or battle with low self-esteem and confidence, counseling can help you work through it. I want to help you set positive goals and strive to lead a healthy daily life.
Sometimes day to day life can be a challenge to cope with. Maybe life circumstances cause you to feel anxious, depressed or frustrated with daily life. Whether you are struggling with a relationship, grieving a loss, going through a divorce, or battle with low self-esteem and confidence, counseling can help you work through it. I want to help you set positive goals and strive to lead a healthy daily life.
Kate Beach
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Chesapeake Beach, MD 20732 (Online Only)
Are you navigating the challenging terrains of grief, trauma, or loss? Do you find yourself struggling with depression, anxiety, insecurities, or significant life changes? Searching to be more present, self-aware, or find peace in the present moment? With extensive experience in helping individuals through their most difficult times, I specialize in grief, trauma, and loss. I also offer supportive counseling for couples looking to improve their relationships and navigate challenges together. I am committed to helping you build resilience, find meaning, and achieve a greater sense of balance and fulfillment in your life.
Are you navigating the challenging terrains of grief, trauma, or loss? Do you find yourself struggling with depression, anxiety, insecurities, or significant life changes? Searching to be more present, self-aware, or find peace in the present moment? With extensive experience in helping individuals through their most difficult times, I specialize in grief, trauma, and loss. I also offer supportive counseling for couples looking to improve their relationships and navigate challenges together. I am committed to helping you build resilience, find meaning, and achieve a greater sense of balance and fulfillment in your life.
Pinnacle Center, Mental Health Services
MA, C-IAYT
Verified Verified
3 Endorsed
Chesapeake Beach, MD 20732 (Online Only)
I am the right Mental Health Yoga Therapist for you if you continue to suffer with depression, anxiety, Post Traumatic Stress Disorder, grief, unhappiness and a sense of disconnection from the deeper sense of who you are. I will teach you how to feel better about your life with the skills of yoga: breath and meditation; calming your upset or sick body and quieting your constantly negative thoughts. Psychological and medical research support that Yoga, while an ancient philosophy, teaches easy to learn skills that improve physical, emotional and spiritual health. I can guide you to your heart's desire for your life.
I am the right Mental Health Yoga Therapist for you if you continue to suffer with depression, anxiety, Post Traumatic Stress Disorder, grief, unhappiness and a sense of disconnection from the deeper sense of who you are. I will teach you how to feel better about your life with the skills of yoga: breath and meditation; calming your upset or sick body and quieting your constantly negative thoughts. Psychological and medical research support that Yoga, while an ancient philosophy, teaches easy to learn skills that improve physical, emotional and spiritual health. I can guide you to your heart's desire for your life.
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide a girl/teen girl expert to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. Two locations to better serve you: Leonardtown and Dunkirk.
Scared. Worried. Anxious. Unsure. You look happy on the outside but inside, you're falling apart: you're feeling overwhelmed and having panic attacks out of the blue. You're a successful woman who is trying to do it all: it's a scary feeling, we know! Our team of women counselor's has been there ourselves & we can help you get your life back! We are also pleased to provide a girl/teen girl expert to help your daughter with the issues she may be struggling with such as self-esteem, anxiety, self-harming, etc. Two locations to better serve you: Leonardtown and Dunkirk.
Online Therapists
I also address additional issues including: Anxiety, Bereavement, Spirituality, Life Transitions, Military Families, Relationship Issues, Stress Reduction, Cancer/Medical Treatment.
The Journey Begins Here... I have found, for my patients and myself, that life is a series of adjustments. Some adjustments are small, smooth and easy, and we may even feel grateful for the new direction on our path. Some of these adjustments are overwhelming. They knock us to our knees, and we feel we may never get up again. Most are somewhere in between.... Whatever challenges bring you to seek counsel, rest assured there is help to adjust and navigate the road ahead.
I also address additional issues including: Anxiety, Bereavement, Spirituality, Life Transitions, Military Families, Relationship Issues, Stress Reduction, Cancer/Medical Treatment.
The Journey Begins Here... I have found, for my patients and myself, that life is a series of adjustments. Some adjustments are small, smooth and easy, and we may even feel grateful for the new direction on our path. Some of these adjustments are overwhelming. They knock us to our knees, and we feel we may never get up again. Most are somewhere in between.... Whatever challenges bring you to seek counsel, rest assured there is help to adjust and navigate the road ahead.
Michelle McWhirter
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21213 (Online Only)
My specialties include chronic/serious illness, cancer, grief, trauma, caregiver concerns, compassion fatigue, anxiety, depression, and relationship struggles.
Hello and welcome to my profile! I am truly grateful for the opportunity to support you on your healing journey. With over a decade of experience, I specialize in guiding individuals through grief, illness, trauma, and caregiving concerns. My approach integrates CBT, mindfulness, and EMDR to help you find peace and healing. Your well-being is my top priority, and I am dedicated to empowering you to overcome challenges and discover a profound sense of wellness.
My specialties include chronic/serious illness, cancer, grief, trauma, caregiver concerns, compassion fatigue, anxiety, depression, and relationship struggles.
Hello and welcome to my profile! I am truly grateful for the opportunity to support you on your healing journey. With over a decade of experience, I specialize in guiding individuals through grief, illness, trauma, and caregiving concerns. My approach integrates CBT, mindfulness, and EMDR to help you find peace and healing. Your well-being is my top priority, and I am dedicated to empowering you to overcome challenges and discover a profound sense of wellness.
Maple Lawn Counseling Services, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Fulton, MD 20759
Recognitions for my work include the following, Compassion Award, UMMC Greenebaum Comprehensive Cancer Center; Hope Award, Ulman Cancer Fund for Young Adults; and was named Birdland Community Hero, Orioles Organization.
We all face challenges in life and my goal is to help you cope and thrive during those challenges. Are you and your partner/spouse arguing more than usual? Has tension at home or work become unbearable? Maybe life has presented you with an unexpected challenge. It could be a health diagnosis, loss of a loved one or just struggling to handle daily life. Life is a journey and there are times on that journey where support is essential. I am a licensed therapist with extensive experience working with individuals and couples during incredibly difficult times. Today is a new day and tomorrow can be more peaceful.
Recognitions for my work include the following, Compassion Award, UMMC Greenebaum Comprehensive Cancer Center; Hope Award, Ulman Cancer Fund for Young Adults; and was named Birdland Community Hero, Orioles Organization.
We all face challenges in life and my goal is to help you cope and thrive during those challenges. Are you and your partner/spouse arguing more than usual? Has tension at home or work become unbearable? Maybe life has presented you with an unexpected challenge. It could be a health diagnosis, loss of a loved one or just struggling to handle daily life. Life is a journey and there are times on that journey where support is essential. I am a licensed therapist with extensive experience working with individuals and couples during incredibly difficult times. Today is a new day and tomorrow can be more peaceful.
I have extensive experience treating our nation's uniformed service members and their loved ones, many of whom have faced circumstances like these: Combat and sexual trauma, Profound loss, geographic separation from family support, relationship distress, parenting challenges, depression and anxiety, cancer, issues with eating and body image, gender issues, and difficulty excelling professionally due to ADHD. I had specialized training in treating gender-questioning and transgender people. I have a post-doctoral master's degree in psychopharmacology, and can consult with other prescribing providers for best medication outcomes..
I have extensive experience treating our nation's uniformed service members and their loved ones, many of whom have faced circumstances like these: Combat and sexual trauma, Profound loss, geographic separation from family support, relationship distress, parenting challenges, depression and anxiety, cancer, issues with eating and body image, gender issues, and difficulty excelling professionally due to ADHD. I had specialized training in treating gender-questioning and transgender people. I have a post-doctoral master's degree in psychopharmacology, and can consult with other prescribing providers for best medication outcomes..
Kristen Wedge
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
1 Endorsed
Baltimore, MD 21201
Waitlist for new clients
As a Licensed Professional Counselor and Licensed Clinical Professional Counselor, I provide psychotherapy to adult clients from a person-centered perspective. Utilizing a person-centered and trauma-informed approach to therapy, I believe that therapy is built on the foundation of trust and rapport between the patient and the therapist. I respect and affirm you as an autonomous and capable person. I specialize in working with patients with eating disorders (from a non-diet and Health At Every Size approach), LGBTQ+ patients, and patients with cancer, disabilities and chronic pain.
As a Licensed Professional Counselor and Licensed Clinical Professional Counselor, I provide psychotherapy to adult clients from a person-centered perspective. Utilizing a person-centered and trauma-informed approach to therapy, I believe that therapy is built on the foundation of trust and rapport between the patient and the therapist. I respect and affirm you as an autonomous and capable person. I specialize in working with patients with eating disorders (from a non-diet and Health At Every Size approach), LGBTQ+ patients, and patients with cancer, disabilities and chronic pain.
I also have a specialty working with cancer patients and their families, and facilitate a cancer support group for patients and caregivers.
I believe that people benefit from an intergrated, holistic approach, and view my role as shining a light to help them find their way and remember their own light. Whether a person, couple or family come in for issues such as depression, anxiety, gief, chronic illness, ADHD, parenting skills or life prupose, Spirit, Mind, Body Psychotherapy can increase one's self awareness, sense of self empowerment, use of effective tools to assist focus, goal setting and completion, and an overall sense of well being and joy. I am honored to accompany people on their healing and self discovery journey.
I also have a specialty working with cancer patients and their families, and facilitate a cancer support group for patients and caregivers.
I believe that people benefit from an intergrated, holistic approach, and view my role as shining a light to help them find their way and remember their own light. Whether a person, couple or family come in for issues such as depression, anxiety, gief, chronic illness, ADHD, parenting skills or life prupose, Spirit, Mind, Body Psychotherapy can increase one's self awareness, sense of self empowerment, use of effective tools to assist focus, goal setting and completion, and an overall sense of well being and joy. I am honored to accompany people on their healing and self discovery journey.
Joanna Hurwitz
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Ellicott City, MD 21042 (Online Only)
Shoot me a message to get connected (note: telehealth only)! The extras: I am a cancer sun ISFJ, and I enjoy making pottery, reading fiction, going for walks/hikes, and watching reality TV with my dog.
Welcome! I'm Joanna. I work with adolescents (16+) & adults, most frequently young adults. I particularly enjoy working with transitional issues - changes in school, jobs, family, relationships, identity, etc. Often, my clients are dealing with depression, anxiety, substance use, trauma, and/or interpersonal conflict. I value working with folks with a range of backgrounds, races, faiths, genders, sexualities, and lifestyles. My work sees people through a systems lens, recognizes the oppressive barriers to mental wellness, and encourages reflection on cultural impact. My ideal client is open minded, patient, and motivated for change.
Shoot me a message to get connected (note: telehealth only)! The extras: I am a cancer sun ISFJ, and I enjoy making pottery, reading fiction, going for walks/hikes, and watching reality TV with my dog.
Welcome! I'm Joanna. I work with adolescents (16+) & adults, most frequently young adults. I particularly enjoy working with transitional issues - changes in school, jobs, family, relationships, identity, etc. Often, my clients are dealing with depression, anxiety, substance use, trauma, and/or interpersonal conflict. I value working with folks with a range of backgrounds, races, faiths, genders, sexualities, and lifestyles. My work sees people through a systems lens, recognizes the oppressive barriers to mental wellness, and encourages reflection on cultural impact. My ideal client is open minded, patient, and motivated for change.
I am dedicated to helping people who have received a cancer diagnosis.
TELETHERAPY AVAILABLE. I am invested in reducing the stress in your life that may be limiting your potential to heal and thrive. With 25+ years of experience, I am a Stress Management Skills Educator, Licensed Clinical Social Worker, Certified Family Psychotherapist; I have advanced training in a lifestyle approach to health and wellbeing from the Andrew Weil Center for Integrative Medicine. Stress reduction activities are among the most important skills to build into a lifestyle to maximize the body’s healing response. You will learn self-care techniques to promote relaxation and resilience and improve your quality of life.
I am dedicated to helping people who have received a cancer diagnosis.
TELETHERAPY AVAILABLE. I am invested in reducing the stress in your life that may be limiting your potential to heal and thrive. With 25+ years of experience, I am a Stress Management Skills Educator, Licensed Clinical Social Worker, Certified Family Psychotherapist; I have advanced training in a lifestyle approach to health and wellbeing from the Andrew Weil Center for Integrative Medicine. Stress reduction activities are among the most important skills to build into a lifestyle to maximize the body’s healing response. You will learn self-care techniques to promote relaxation and resilience and improve your quality of life.
Audrey Bennett
Clinical Social Work/Therapist, LCSW, LADC
Verified Verified
Bethesda, MD 20814 (Online Only)
My specialties include Substance Abuse & Recovery, Holistic Integrative Modalities, managing Depression and Anxiety, and Cancer Survival.
Want to shift the old patterns that haunt you? Want to gain coping skills to help with difficulties? Are you in need of Spiritual guidance? If you are looking for results, you have found the right therapist! Your time is valuable, and I look forward to supporting your journey to reach your highest quality of life. I work with both Traditional & Non-Traditional, Ancient & Modern Approaches. You choose what works for you. As a Ceremonialist I also help you bring meaning to significant events: Births, deaths etc. Learn to weave the threads of difficulties into a more stable tapestry of your life. (see photo gallery for insight)
My specialties include Substance Abuse & Recovery, Holistic Integrative Modalities, managing Depression and Anxiety, and Cancer Survival.
Want to shift the old patterns that haunt you? Want to gain coping skills to help with difficulties? Are you in need of Spiritual guidance? If you are looking for results, you have found the right therapist! Your time is valuable, and I look forward to supporting your journey to reach your highest quality of life. I work with both Traditional & Non-Traditional, Ancient & Modern Approaches. You choose what works for you. As a Ceremonialist I also help you bring meaning to significant events: Births, deaths etc. Learn to weave the threads of difficulties into a more stable tapestry of your life. (see photo gallery for insight)
I typically work with adults with chronic illnesses such as autoimmune disorders, cancer, diabetes, and kidney disease.
I’ve witnessed the impact of stress, anxiety, and feelings of hopelessness as individuals manage their chronic health conditions. These are common reactions to navigating a life-altering health condition. I work with clients to better manage their mental health and chronic illness together to improve their overall health. I take a collaborative approach to therapy with my clients, and I strive to establish a supportive environment where we can discuss your goals for therapy and address the challenges associated with managing chronic illness.
I typically work with adults with chronic illnesses such as autoimmune disorders, cancer, diabetes, and kidney disease.
I’ve witnessed the impact of stress, anxiety, and feelings of hopelessness as individuals manage their chronic health conditions. These are common reactions to navigating a life-altering health condition. I work with clients to better manage their mental health and chronic illness together to improve their overall health. I take a collaborative approach to therapy with my clients, and I strive to establish a supportive environment where we can discuss your goals for therapy and address the challenges associated with managing chronic illness.
Christa Sonnier
Licensed Master Social Worker, LMSW, PMH-C
Verified Verified
Owings Mills, MD 21117 (Online Only)
Many come to therapy during threshold times, those moments during major life transitions that may be filled with grief, fear, or anxiety. I meet clients at this doorway and offer support, solace, and guidance as they travel from one phase of life to another. I specialize in providing pregnancy and postpartum mental health care, which includes those who have experienced birth trauma and reproductive loss. I also work with those moving through other life transitions including divorce, loss of a loved one, job changes, menopause, and cancer or chronic illness diagnosis.
Many come to therapy during threshold times, those moments during major life transitions that may be filled with grief, fear, or anxiety. I meet clients at this doorway and offer support, solace, and guidance as they travel from one phase of life to another. I specialize in providing pregnancy and postpartum mental health care, which includes those who have experienced birth trauma and reproductive loss. I also work with those moving through other life transitions including divorce, loss of a loved one, job changes, menopause, and cancer or chronic illness diagnosis.
Cancer Therapists
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 Behavioral Therapy (CBT)Cognitive Behavioral 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 counseling 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.