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Psycho-oncology Services

Our Psycho-oncology Services focus on your emotional health, symptom management, and survivorship care needs. At Mount Sinai Comprehensive Cancer Center, we understand the difficult challenges a cancer diagnosis can bring to you and your loved ones. As a result, you may choose our particular health services at some point in your cancer journey. Psycho-oncology services are made up of three programs: 1) Psycho-oncology: a psychologist and a psychiatrist who focus on behavioral and emotional wellness; 2) Survivorship: a nurse practitioner dedicated to survivorship needs and care plans; and 3) Pain and Palliative Care: a medical doctor who is a cancer and pain specialist focusing on several aspects of symptom management and quality of life. We can work with you throughout your cancer diagnosis as needed.

Psycho-Oncology – Emotional Wellness Throughout Your Cancer Care

Psycho-oncology is a subspecialty concerned with the emotional responses of cancer patients and their loved ones at all stages of disease. We focus on improving a patient’s emotional, behavioral, and psychosocial difficulties associated with cancer. Psycho-oncology professionals are required to be highly specialized in their training, especially in helping detect serious conditions or situations associated with cancer. As a team, we can work closely with you to make the best decisions as you continue to take an active role in your mental balance and emotional wellness.

Psychologist

Our fellowship-trained licensed clinical psychologist will use evidence-based treatments to help you manage anxiety, depression, or other problems encountered. This service might include Cognitive Behavior Therapy, Mindfulness-Based Stress Reduction, or Trauma-Focused interventions, among other treatments.

Psychiatrist

Other recommendations for emotional wellness might include medications targeting prevalent symptoms in cancer patients. These might include medications for fatigue, sleeplessness, and other forms of emotional concerns, which would be the focus of your work with our fellowship-trained psychiatrist here at the cancer center. This specialized service may be particularly relevant in that the medications utilized will not affect your cancer treatments.

We also offer in-office appointments as well as “bedside” psychotherapy for patients in the treatment rooms. We will also try to offer our sessions on the same day as your other medical appointments at Mount Sinai. In addition, our services are available through virtual TELEMEDICINE visits. Our services are offered in English or Spanish.

Frequently Asked Questions

There may be several reasons why you may be referred to our psycho-oncology service. One reason may be that your team has noticed you are having difficulty in coping with your initial diagnosis, treatment, effects after your cancer experience, or even other past circumstances that come to the surface during this time. For instance, some patients might experience anxiety or depression, for which they may need important coping skills to help improve their quality of life. Other patients might have a history of different mental health concerns, which can become more complicated with a cancer diagnosis. For example, you might have experienced depression in the past or a significant loss in your life, which might require some specialized trauma-focused attention. Another important reason why a team member may refer you to psycho-oncology may be because you scored high on The Distress Thermometer. A psychologist or psychiatrist is here for you to help alleviate the distress you may be experiencing during your cancer care.

The Distress Thermometer is a screener that helps us gather information on your levels of distress and reasons why you may feel his way. This routine screener can inform us about your distress before it becomes more difficult to treat. The Medical Assistants at the cancer center will give you this screener when you come for visits. 

The psychologist or psychiatrist can be accessed at your request. However, this team is usually referred by your medical doctors. Other team members may also introduce you to our service based on how well you are dealing with your cancer, or if your score is high on the distress screener. Our specialized patient representatives can assist you in providing information about your particular insurance coverage or co-pays.

Psychologists and psychiatrists are doctors who receive different types of training for the diagnosis and care of mental health concerns in patients. Although both can provide psychotherapy, psychologists focus primarily on “talk” therapy and psychological testing, whereas psychiatrists may rely more on prescribing medication.

Psychology is the study of the mind, emotions, thoughts, and behaviors. In order to be called a psychologist in the U.S., a person needs to earn a bachelor’s degree, a master’s degree, a doctoral degree in psychology, and in some states (such as Florida) postdoctoral residency to take a licensing exam in that state. Fellowship training refers to specialty training after residency. The educational process to become a licensed psychologist takes about 10-12 years after high school. These professionals may have a PhD (Doctor of Philosophy with a psychology major), or a PsyD (Doctor of Psychology). The psychologist here at the cancer center is fellowship-trained in psycho-oncology.

Psychiatry is a branch of medicine, with a specialization in psychiatry. These professionals can have an M.D. (Medical Doctor) or a DO (Doctor of Osteopathic Medicine). To become a psychiatrist, the person needs to earn a bachelor’s degree, a medical school degree, and a postdoctoral residency. The educational process to become a psychiatrist takes about 10-12 years after high school, before taking a state licensing exam. Fellowship training refers to specialty training after residency. The psychiatrist here at the cancer center is fellowship-trained in psycho-oncology.

Survivorship

At Mount Sinai Cancer Center, our goal is to help you, our patients, transition into a wellness-focused perspective, allowing you to enhance the length and quality of life. With the Mission of preventing or minimizing adverse effects, we also want to provide you with information about the best way to proceed with your care. Our Advanced Registered Nurse Practitioner is dedicated to your survivorship needs and to developing Survivorship Care Plans.   

Who Is Considered a Survivor?

There are over 18.1 million cancer survivors in the United States, which is more than 5% of our population. Because of this, cancer programs across the U.S. have actively addressed this need.

An individual is considered a cancer survivor from diagnosis, through the balance of life. This includes survivors living with cancer and those free of cancer. The survivorship experience also impacts family members, friends, and caregivers and are therefore included in this definition. (Adapted from the National Coalition for Cancer Survivorship).  

More on the Survivorship Program

The purpose of the survivorship program is to follow the course of cancer survivors. This might include patients who are initiating treatment, are undergoing treatment, have completed treatment, or are in remission.

The program sets out to provide screening, evaluation, and treatment recommendations for patients, including the following.

  1. Surveillance for cancer spread or recurrence, and screening for subsequent primary cancers
  2. Monitoring long-term effects of cancer, including psychosocial, physical, and immunologic effects
  3. Prevention and detection of late effects of cancer and therapy
  4. Evaluation and management of cancer-related syndromes, with appropriate referrals for targeted intervention
  5. Coordination of care between primary care providers and specialists to ensure that all of the survivor’s health needs are met.
  6. Planning for ongoing survivorship care:
    • Information on treatment received, including all surgeries, radiation therapy (R.T.), and systemic therapies
    • Information regarding follow-up care, surveillance, and screening recommendations
    • Information on post-treatment needs, including information on acute, late, and long-term treatment-related side effects and health risks when possible
    • Delineation of roles of all health care providers (including oncologists, primary care physicians [PCPs], and subspecialists) in long-term survivorship care with coordinated timing of care and transfer of care as appropriate
    • Promotion of adherence to healthy behavior recommendations
    • Periodic assessment of ongoing needs and identification of appropriate resources.

What Are Survivorship Care Plans?

The Commission on Cancer encourages cancer centers that their patients receive a survivorship care plan (SCP). Delivery of these SCPs is one of the complementary services offered to survivors.

Other Services

  • Services utilized by the program may include recommendations to have the following services:
  • Survivorship Care Planning
  • Rehabilitation Services or physical activity program
  • Nutritional Services
  • Financial Support
  • Integrative Medicine program
  • Psychological Support and/or Psychiatric services
  • Support Groups and Seminars

Support Groups

A cancer journey can have several challenging chapters, and sharing the experience with others, who understand what you are going through can be very helpful. In fact, sharing stories and experiences with fellow cancer patients creates a sense of kinship, builds new relationships, and offers patients and their caregivers an outlet for their feelings in a safe, confidential environment.

Mount Sinai Comprehensive Cancer Center offers support groups specifically tailored to the unique circumstances of those who participate. Our programs might include gatherings, some of which are complementary to our patients while others are not. Some group interventions may also be available virtually. 

More on Groups

The cancer center frequently runs several bi-monthly or quarterly complementary groups at different points in time. Fee-for-service or insurance-verified groups are also held periodically. For more information on when these groups run, please refer to the Events Calendar.

These are a few of the groups held periodically at the cancer center: 

Quarterly Complementary Groups:

  • I CAN” SURVIVORSHIP LECTURE SERIES, a psychoeducational set of lectures/seminars aimed at raising awareness about survivors and addressing cancer patient survivorship care needs. Among the topics covered is information relating to the emotional aspects of care throughout the cancer trajectory and throughout their lives.

Bi-monthly Complementary Groups:

  • Facing Forward, a support group for all cancer patients at the beginning of their cancer journey
  • Caregivers Corner, a support group for people caring for their loved ones with cancer
  • Peaceful Paths, a support group for people who have lost loved ones to cancer
  • Legacy, a support group to share practical advice for navigating the cancer journey for patients and caregivers

Fee-for-Service or Insurance Verified Groups:

  • Meaning-Centered Group Psychotherapy is a philosophical support group focused on exploring meaning and purpose in one’s life throughout the cancer trajectory. This group meets once a week for four consecutive weeks for 2 hours each session. Insurance plans are verified.

Pain and Palliative Care

Palliative care is an interdisciplinary care delivery system designed to anticipate, prevent, and manage physical, psychological, social, and spiritual suffering to optimize the quality of life for patients, their families, and caregivers.

A referral to pain and palliative care services can be made at any time while under cancer treatment and may be recommended as needed to improve a patient’s quality of life. The primary reasons for being referred could be associated with symptom management, side effects of treatments, supportive care, or comfort care. One of the main goals may also be to prevent, or to provide the earliest possible treatment for physical distress. Sometimes, this is done with advanced care planning, which can include discussing illness process and prognosis.  

What Is a Pain and Palliative Care Specialist?
Palliative care specialists are specialty trained medical doctors who focus on issues relating to serious illness. In order to become this type of specialist, the individual needs to earn a bachelor’s degree, a medical school degree, and 3-7 years of training in a Residency program. 

What Is the Difference Between Palliative Care and Hospice?

Palliative care focuses on maintaining the highest quality of life while managing treatment and other needs. Hospice care is recommended for patients to relieve suffering nearing the end of their life.

Sometimes palliative care specialists help patients transition from treatment focusing on cure, to hospice or comfort care. These physicians are specifically trained to prepare patients for ongoing physical changes as well as provide support and guidance about emotions and thoughts that might arise. These physicians may also be available to help the patient’s loved ones and caregivers. 

Our Physicians

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Alan M Nieder, MD

Co-Chief, Columbia University Division of Urology at Mount Sinai Medical Center

Program Director, Urology Residency Program

Associate Professor at the Columbia University Division of Urology at Mount Sinai Medical Center

  • Urology
  • Cancer
  • Oncology
  • Urologic Oncology
  • Robotic Surgery

Irman Forghani, MD, FACMG

Director of Genetics at Mount Sinai Medical Center

  • Medical Genetics
  • Cancer
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