Understanding and Managing Chemo Rage: Tips for Coping

Staff
By Staff
5 Min Read

Your emotional reactions during chemotherapy can feel unpredictable, says Kulkarni, but you have options to manage them. “Remember, your emotional health is just as important as your physical health,” says Kulkarni. “You’re not alone. Support is available, and many people find relief with the right combination of strategies.”

Identify Your Triggers

It’s important to learn your triggers, says Cartagena. “These are the day-to-day stressors that, before treatment, felt largely manageable.” When you search for insight into interactions and situations that cause stress, you can see where potential mood swings might occur before you feel anger, says Cartagena.

Talk to Your Provider Often

Tell your oncologist or nurse how you’re feeling, says Kulkarni. They can help identify the cause and offer support or find you the help you need.

If your emotions get too overwhelming, you can also ask your provider about medications that could help during and after treatment, says Kulkarni. “Your doctor may recommend medications like antidepressants or anti-anxiety drugs to help you feel more balanced.”

Seek Emotional Support

Kulkarni recommends looking for local resources or clinical mental health resources within your hospital system, such as counseling, support groups, or psycho-oncology specialists. These support systems can help you process your feelings, says Kulkarni.

“Think of mental health support as a fundamental part of your medical care. In the same way you have team members checking in on your immune system and other parts of your body, it’s important to have team members checking in on how your brain is doing, too,” says Cartagena.

Try Self-Soothing With Relaxation Techniques

Self-soothing activities can help relieve tension, shift your focus, and lessen feelings of anger, says Cartagena, who recommends listening to music, going for walks, and looking at pleasant pictures.

But if you find yourself suddenly angry, it’s also important to give yourself space instead of jumping right into a self-soothing attempt, says Cartagena. “Trying to use a coping strategy while in the middle of the stressor can be tricky and lead to more frustration.”

One way to reregulate your nervous system is with deep breathing techniques, says Cartagena. “I often do ‘4-7-8 breathing’ with patients — inhaling for 4 seconds, holding for 7 seconds, and exhaling for 8 seconds.”

Cartagena also recommends box breathing, which you can do by imagining a box in front of you and tracing the edges of the box one by one. Inhale and exhale for four seconds each as you scan each side. Besides deep breathing, you can relax your nervous system through practices like meditation, yoga, guided imagery, and progressive muscle relaxation.

Reflect Without Judgment

When you feel angry, it’s easy to get frustrated with yourself. But your anger doesn’t mean anything is wrong with you, and it’s important to reflect on your emotions without judging them, says Cartagena.

Instead of judging yourself harshly, reflect on what might have incited the mood swing, says Cartagena. “Identify what you might want to communicate, what’s important to you, and how you may want to approach it differently with your new mindset.” Self-compassion is critical while figuring out what works best for you as you manage anger during chemotherapy.

Talk to Family and Friends About Chemo Rage

As the people closest to you, your family and friends may experience the brunt of your powerful emotions and may not understand where this is coming from. But you can help your loved ones by explaining what chemo rage is and asking for the support you need.

You can also encourage your caregivers to take breaks, find time to relax, keep up their routines, and ask for help themselves. Above all, be open and honest with the people closest to you: Share your fears and worries, and invite them to do the same. That way you can stay on the same team, even when emotions run high.

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