Dear Breast Cancer Oncology: Where is the Behavioral Health Care?

The journey through breast cancer treatment is often complicated and can involve major surgeries and long-term hormone-altering treatment. Research indicates that nearly 50% of women with early breast cancer experience depression, anxiety, or both in the year after diagnosis. Despite the well-documented mental health impact, access to behavioral health services during breast cancer care varies greatly based on the treatment center. My patient experience highlights missed opportunities, a lack of depression and suicide screening, behavioral health access barriers, and ultimately, the positive impact of adding mental healthcare. A trauma-informed, validating, and compassionate approach to breast cancer care with integration of behavioral health is a critical component to enhancing patient quality of life, improving treatment adherence, and reducing recurrence and mortality.