BRiC's Collective Voice: Our Coping Strategies, Oct. 28. 2019

'It’s often said that it’s the little things that matter, and never is this more true than when we’re dealing with a great big uncontrollable thing like breast cancer.'

This week our discussion focussed on coping strategies: what has worked well for us in dealing with our breast cancer diagnosis.

Our members described many different ways of coping, a dominant theme being avoidance and distraction. By keeping busy, with work, families, activities, we remain outside ourselves, we don’t have to face our fears or process our trauma. We don’t want to see what is going on inside our heads, our hearts, and so we keep our brains occupied at all times, with doing, planning, worrying. If we never stop, the fear cannot harm us. Busyness becomes our default mode of operation, our way of maintaining normality after our breast cancer diagnosis throws us off our planned path and we constantly strive to go back to how and who we were before. Many of us realise that this just isn’t possible, and it’s an uncomfortable truth.

For those of us used to being very active and busy, the fatigue that comes with our breast cancer can be hugely frustrating. We may try to overcome it by keeping going until we crash, and develop an unhealthy pattern of start/stop. We are trying to fix what we perceive as a problem instead of addressing our fatigue by adapting to our new capability. If we can no longer do everything we used to do before, can we do a gentler version, find a different way. Flexibility is key to coping well.

Hiding our emotions away for long periods of time can lead to an unhealthy mental state, with pent up feelings likely to come to the fore at inappropriate moments. How much better for our wellbeing to acknowledge and where possible, accept. We can allow ourselves to do nothing, to cry, to feel. It’s simple, but it’s not easy.

As one member wrote, ‘I definitely need to press the pause button, for me and the family at times. It’s always worth it.’

Many of our members pride themselves on being organised, as this helps with anxiety. Some of us like to imagine the worst case scenario for a situation and plan for that, knowing that we are prepared for anything can be helpful in managing worries about the future. Antidepressants have their place in helping us to cope. Humour is a great way of dispelling fear too, but a few of us have found it difficult to access after diagnosis, and it may return a darker shade! Some of us are seeking better balance in our lives, planning in downtime, alone time, me time. Scheduling blocks of free time without external commitment can be very therapeutic, giving us choices in how to spend that time: sleeping, walking, reading, whatever we want.

When we feel overwhelmed, breaking things down into small chunks can be very helpful, along with slowing down the pace of activity and doing one thing at a time, taking one day at a time. Building in small treats - our favourite cake, a candlelit bath, a short walk - when the going gets really tough, is priceless. It’s often said that it’s the little things that matter, and never is this more true than when we’re dealing with a great big uncontrollable thing like breast cancer. Particularly secondary breast cancer, when treatment is ongoing and relentless and we have huge horrible tasks to contend with such as telling our loved ones about our prognosis. Extreme self-care becomes a priority.

Journaling has helped many of us, we find that writing down how we are feeling brings clarity. Others find meditation and mindfulness invaluable. Others have used selfie photos to remind themselves of how far they have come. Familiar podcasts can be soothing and provide focus when the mind is racing out of control. Breathing exercises can help us to be in the moment and find calm during times of stress. Exercise and fresh air can be of huge benefit also. Pets can be a huge source of love and comfort.

Lots of these pleasurable leisure activities can be seen as distractions in the same way as working too hard, and it’s clear we need to be careful that we are not continuing to make excuses in order to avoid our feelings. We may become accustomed to the numbness and take comfort in it. In order to actually move on perhaps we need to actively change our internal dialogue. Mindfulness can help with this: observing what is happening in the body and in the mind and around us in this moment, not trying to make anything different, not labelling or judging, just noticing and letting each moment go as it passes. This practice can lead to an inner calm and peace which can be transformational.

Some of us have had counselling which has helped to put things in perspective. Talking through our experiences can help acceptance. Others are blessed with supportive friends and family and like to talk things through regularly. Some of us are struggling with our relationships and find we hold our feelings inside to protect others. This can be where private groups like BRiC come into their own, as everyone is in the same boat and ‘gets it’ and we encourage sharing the bare raw truth.

Moving from coping to thriving may be all about self-care and self-compassion. So many of us have grown up looking after everyone around us and leaving our own needs until last, so that often they remain unmet. We must learn to put ourselves first, and that means searching within for the strength to find the answers. With a little help from our friends, of course.

If you are a woman living in the UK with a breast cancer diagnosis and you would like to join our private group please leave your name in the comments or send us a private message.

BRiC's Collective Voice: Value of Mutual Support; Oct. 22, 2019

'We have had the same thought, fear or shared joy in the middle of the night as well.'

Our discussion this week explored the value of mutual support and friendship, and what has it meant to our members.

Naz described briefly how social support has been one of the biggest predictors of psychological well-being in the research literature. The benefits that this brings with it include protection against depression and loneliness, as well as boosting self-esteem and self-compassion.

The discussion highlighted a variety of support, differentiating between family, friends and online support. Many of us protect ourselves, and our families and friends, from the reality and impact that this disease has on our bodies both physically and emotionally. Many described the loss of confidence, feeling and looking physically different as well as the long-term impact that chemotherapy and other treatments can have on us.

Many described finding friends, and in some cases family members, disappearing from our lives, and whilst it was recognised how difficult it is to be able to be supportive, it was generally felt that there was an expectation that family and friends did not understand the impact that breast cancer can have. Many shared that after a few months of finishing 'active' treatment there is an expectation that we should be 'over' it and getting on with life without fear and worry. Many found that the lack of understanding led us to be less vocal about the impact the illness has had on us, and that has in turn led us to feel isolated.

There were a couple of members who identified that they were lucky enough to have a friend who was there for them regardless, and that this acceptance and willingness to try to understand was invaluable to them.

Online groups were seen as a massive source of virtual support. Being able to share thoughts and feelings, being able to ask if something is 'right' or should be checked out by professionals, and just having a safe place to be able to say how we are feeling, without the worry or need to protect others, was seen as invaluable.

Being able to write what the fears are in black and white doesn't make them less scary, but the responses from other members helps to stem the feelings of isolation because we understand, we have been there, we have had the same thought, fear or shared joy in the middle of the night as well.

The benefits of face to face meet ups was also thought to be positive. The value of meeting in person cannot be over-estimated. A real hug as opposed to a virtual one means so much, and online friendships tend to deepen when we've met in the flesh.

Being able to give and receive support is essential and being able to just 'be', to be accepted and not be the odd one out because of breast cancer.

Some members described that they did not feel that they had the right to be a part of these groups because they didn't have chemo or mastectomy, but it soon became clear within the discussion that everyone is valued equally. Whilst our experiences are all individual, the one thing we have all had in common is being told we have Breast Cancer. There is no light or lucky form of cancer.

If you are a woman living in the UK with a breast cancer diagnosis, and you would like to join our private group, please leave your name in the comments or send us a private message.

BRiC's Collective Voice: Lack of Psychological Care, Oct. 10; 2019

“Living with #secondarybreastcancer as a “chronic illness” which brings even more stress and emotional trauma, makes it difficult to move on and “get over it”. We are left in a constant state of anxiety and stress.”

Thank you to Susan Quirke, One of our new admins, who summarised our Sunday discussion this week.

For our discussion we focussed on (the lack of) psychological care after diagnosis. Naz told us that psychological well-being and physical well-being go hand in hand, they promote each other. 

Unfortunately for us women with breast cancer, there was a big consensus that psychological care when we most needed it was not available.

Our members mentioned the benefit of online support groups. Many members mentioned that groups like BRiC are their lifeline. They can feel like they aren’t alone and members support each other. No matter what part of the country we are in we feel supported. Some areas don’t have any counselling services so groups like BRiC become extremely important to help us not feel isolated.

Lack of support after treatment meant that many members felt that once treatment for primary breast cancer had ended, everyone expected them to be happy, move on and forget about cancer. And once treatment ended there was no follow up or support from medical staff. Our members with secondary breast cancer, where treatment and monitoring continues for as long as it remains effective, felt the lack of ongoing support particularly keenly.

Another source of depression and anxiety came from "scanxiety" (scan anxiety) - the terror of the cancer coming back, or for those with secondary breast cancer the fear of progression, and people around us not understanding how every scan sets us off in blind panic and fear. There is a feeling of loneliness and isolation as we feel we can’t express our fears to others outside these groups.

People we love are important to us. We feel guilt at not being able to just move on and “get over cancer”, if we have been through treatment for primaries, and those of us with secondaries feel guilty about the worry we are causing our loved ones. We feel like we have to put on a brave face and that we can’t truly express our worries and fears in case they get upset, which leads to feelings of isolation.

We actively seek out help. Many members feel like we have to seek out help, that no one offered us any counselling or asked us how we were coping.

There was a real feeling that others say, or imply, "you are cured, now move on with your life."

Moving on courses are helpful. Many members have been to a moving on course through Breast Cancer Now or other places like Maggies, Macmillan, The Haven etc. Many were referred by their breast care nurse.

However there are often long waiting times for these courses. Some members pointed out that these courses are always on in the day time and with work and family commitments they can’t make the courses.

Counselling helps. Some members have seen their local hospice psychiatrist and some have been referred by their GP for counselling and CBT which they have found helpful, but also that there aren’t enough sessions. However, we are usually offered only four to six sessions and then we are supposed to move on with our lives.

Some members said they weren’t honest about their mental health and would pretend they were fine because they felt that’s what everyone wanted to hear. Others admitted to self-medicating with alcohol to numb the trauma and fear. Others felt disappointed in themselves that they couldn’t just move on and get over it, like they had let everyone down as they weren’t behaving how others expected them to. There was a feeling of shock that as soon as treatment is finished you loose all support and the expectation is that you should be delighted to be over treatment and that wasn’t how many members felt. They felt lost after treatment and anxious and very unsupported.

Some members reported that they were offered complementary therapies such as Reiki and massage and they found this helpful in feeling calmer and more mindful. Nature and distraction techniques were also mentioned, that being in nature really helps to quieten the mind and put life’s worries in perspective. Our members have a new appreciation for immersing themselves in the outdoors. Some members use distraction techniques to avoid thinking about their cancer experiences and try to keep themselves immensely busy to avoid any deep thoughts about cancer sneaking in, though it was acknowledged that this may not be productive in the long run.

Some members found that it was too painful to relive their cancer experiences and didn’t want to talk about it or seek out counselling they didn’t want to go through what they had experienced again.

Many felt that exercise helped with their moods and had become more aware of this and made sure to make time for exercise as they could feel the difference mentally.

Financial insecurity was an issue. A number of people have commented that having less money means more stress due to not being able to work or working less hours. So as well as having to worry about the cancer coming back and feeling trauma from everything we go through they also have to worry about paying bills and trying to manage to keep everything going.

Though it is possible to get NHS support for family members in terms of counselling, the majority of us felt this seemed to be unusual as we struggle to find support.

Some members expressed the thought that Private get more support versus the NHS. That it’s easier to access a mental health professional and on the NHS the waiting lists are prohibitive.

Timescale to recovery was a controversial issue. Some members have expressed that they have more anxiety three years later then during treatment but now it’s unacceptable and they cannot express their fears. They felt like there is a timescale on recovery that we aren’t allowed to still feel worried or concerned as time moves on.

Some members have gone to their GP as they feel suicidal and have been put on antidepressants. There is a real feeling that there is pressure to put on a “happy face” around their children to not show any fear or anxiety as they don't want their negativity affect their children’s lives any further.

Doctors’ attitudes are key. There was also a mention that when doctors reel off facts and figures about survival rates and so on, it actually make us feel even more anxious and worried, that they don’t have the ability to feel empathy and speak in a more considered and thoughtful way.

If you are a woman with a breast cancer diagnosis and would like to join our private psychoeducational support group please messages us here and we will get back to you.

Girls gotta have fun: Caroline Humber at Breast Cancer Now Show!

'It was a wonderful day, full of excitement and emotion.'

Today we share these words from Caroline, a very special member of the BRiC admin team. She is living with secondary breast cancer.

Last week on 3rd October I took part as a model in the Breast Cancer Now London Fashion Show along with 31 other women, including fellow BRiC members Jasmin and Keely, and men, who have been treated or who are currently being treated for breast cancer.

It was a wonderful day full of excitement and emotion. For me, the joy came not only with having my hair and make-up done professionally together with gorgeous clothes but with the time together with the other models, including our own Jazz and Keely. We were of all shapes, sizes, ages and stages of disease from DCIS to secondary cancer. And a timely reminder that men get breast cancer too.

Spending time with this fantastic group, talking about our stories and shared experiences was amazing. We laughed, talked for hours – not just about breast cancer but about everything – from families and children, disappearing friends and new friends after diagnosis, our work and our lives. We laughed at how excited we were to meet the celebrities involved in the show, especially our male models to walk us down the catwalk. We were entertained by the brilliant ABBA tribute band Bjorn Again and by the wonderful Heather Small who had us all in tears as she brought us on stage to sing her song “Proud” with its chorus of “What have you done today to make you feel proud”. Just a wonderful day and I know we will all remain friends.

It was a reminder that sometimes there is no substitute for talking, especially face to face. There is something special about time with those who just “get it” – whether it be fits of laughter at the many examples of “chemo brain” to the hugs when the tears come. The week before the show I was told that my cancer had spread further into my brain and am facing whole brain radiotherapy with many side effects, including loosing my hair again. I nearly pulled out of the show and there were certainly many tears on the day having my hair styled, but talking to people who really understand how that feels meant I could find the strength and embrace the whole experience.

Support of others is so important in building resilience – it allows us to voice our fear in a way that maybe our families can’t and encourages us to do the same for others. For me, BRiC has been a lifeline, especially in the support of women with secondary breast cancer.

20/11/2019

BRiC's late Deputy Head, Vicky Wilkes: A message to All of Us

"So when you do go outside and look at those stars in our universe, take a deep breath, appreciate your existence and that you are able to do these things."

A special message to all of us women with breast cancer, from our amazing deputy head, Vicky Wilkes, whom we continue to miss and love dearly. Key words from a brilliant friend, nurturing mother, dedicated colleague, and loving wife.

This was Vicky's last post, and she was keen for it to be published widely. Thank you to Dave, her amazing husband for sharing with us.

"We all knew this was coming, didn't we? When I would be told that the end is nigh. But it is such a shock when it actually happens and they can't seem to keep your mojo up. I have been strong through my ? years of living with secondary breast cancer but it is the hardest thing I have ever had to deal with mentally and physically and this is not going to get better and I feel that the time I will fall off my perch is coming soon as my ? isn't coping.

I don't think any of us really accept our mortality, and I certainly wasn't expecting to in my early 30s then again on my early 40s, but it is what it is and I felt it arrogant to ever have said 'why me?'

My relationship with cancer started in 2006 at age 31, but it was when I reached 40 that it got terribly serious and I knew my time here would be shorter than expected.

I had imagined growing old surrounded by my family, seeing my children through their school years, into adulthood, getting married and having their own children. It hurts so much to know I won't get to see these milestones but more importantly that I won't be here for them when they deserve to have their mum there on the special days of their lives. How can I leave these two children without a mum?

Each day is a gift and the only moment any of us really have is now. I don't want to go, I don't want to leave my family and friends, but I have no choice, I have done my best but it's out of my hands.

The one, worst, horrible, bad thing about this dying lark is that I have hated causing sadness. I really hope my children can be resilient and bounce back to be the amazing adults I think they can be.

I look at life through different eyes. I wish people would stop sweating the small stuff and appreciate life and how truly amazing it is. It's ok to find something annoying but then you need to quickly get over it and be thankful it's a minor issue.

As the great Stephen Hawking said.. "Remember to look up at the stars and not down at your feet. Try to make sense of what you see and wonder about what makes the universe exist. Be curious. And however difficult life may seem, there is always something you can do and succeed at. It matters that you don’t just give up.”

So when you do go outside and look at those stars in our universe, take a deep breath, appreciate your existence and that you are able to do these things.

Think about those things that happen to you, that you put a lot of weight into, but which are insignificant....no sleep, bad hair day, don't like how you look, got nothing to wear, house is a mess...just let all that shit go! My body is wrecked, my mind is wrecked, but I see even those things as pretty insignificant because what I really cared about was how long I had left here, would I see my next birthday, my children's birthdays, Christmas.... I needed to keep going, I needed another day with my family and friends and then I needed another and then another, I needed to be here.

Appreciate your body, embrace it but don't obsess over it and look after your mind, as that will look after you. Be grateful for the days when you are not dealing with anything serious and yes it's annoying but it will go away.

Stop the stress of buying stuff you don't need, with money you don't have, to impress people you don't like!

I learned from everyone who joined me on this precious ride that is life. I have laughed and cried with you and we are all part of each others lives which has helped shape the people we are! Thank you, all of you family, friends, nurses and doctors who did their best for me.

You've given me much support and pleasure. I'm glad to have known some of you for many years and just wish I had more time with others of you I've not known for so long.

For goodness sake people, enjoy life, take risks, be kind always, love, be curious about everything, look at the diversity of the world around you...it's incredible, travel, be a badass, smile, be gentle and forgive whenever you can.

Thank you all, now go and toast life with more alcohol than is good for you on this occasion, laugh, smile and have an amazing time.

Much love and thanks!

Peace out! X"

#notjustoneday
#breastcancerawarenessmonth

BRiC's Collective Voice: Breast Cancer and Femininity, Sept. 15, 2019.

Our Sunday discussion focused on how our members manage to look and feel feminine during treatment, we shared tips on what works for us and discussed whether it is important to feel feminine during treatment.

For many of our members the first hit to their femininity is hair loss through chemotherapy. A sudden and complete hair-loss affects the way we view ourselves and how we perceive that others see us. Add to that, the probability that surgery will leave us disfigured to a greater or lesser extent, then it is not surprising that we feel less feminine, less attractive and less confident.

Many members said they feel glamorous in their wigs, wearing styles that they would not have contemplated before, others hate their wigs and prefer hats, scarves and buffs, others choose the bald-and-beautiful look, embracing the liberating feeling it brings. But for every member who finds joy and confidence in their wig or hat, there are many more who feel the loss of hair affects them deeply and their confidence has taken a huge hit.

Lots of our members shared tips around using make-up, bright colours, lovely lipsticks and jewellery to boost confidence during treatment. Those who had attended a Look Good Feel Better course, or similar events, said they enjoyed the tips, such as how to draw on eyebrows. Others suggested using positive affirmations, looking in the mirror and seeing your own beauty; remembering to smile was a popular tip. One member said her method was to simply put her head down and power through, there is time enough to worry about our femininity after treatment.

Our private group has members with both primary and secondary breast cancer and for those with a secondary diagnosis the effects of ongoing treatment can mean their sense of femininity is hit even harder. They may be facing a constant battle with side effects: hair loss or thinning, weight gain, pain and bloating, were just some of those mentioned. For all our members the general tiredness adds to the struggle. Lots of us want to feel “normal” more than to feel feminine; something made difficult by the side effects of the drugs. Weight gain, premature menopause, loss of libido and loss of confidence affect almost all of us to some degree. For those of us in a relationship, having a supportive partner can be a boost to our confidence, although some members confessed to a feeling of disbelief when their partner tells them they are beautiful. Those who are single often worry about how potential partners might see us in our new, less feminine state.

Some of us who weren’t “girly girls” before cancer found the urge to enjoy what was left of their femininity, things that weren’t important before became a high priority, our hairdresser often became our new best friend. Keeping up with our routine helped many members, having a manicure, wearing make-up, buying nice clothes and getting dressed up helped to maintain that sense of self. For others it was a relief to be able to let those things slide and enjoy just being ourselves with no concern about how we looked.

We wondered if the pressure to feel feminine could be counterproductive. Side effects can be a long-term thing, is it feasible to keep on putting that pressure on ourselves to look and feel feminine when we are exhausted from the effort? One solution might be to find a way to be kind to ourselves rather than concentrating on how feminine we feel. Others thought that focusing on our femininity helps us to tolerate the treatment and its effects.

If you are a woman in the UK with a breast cancer diagnosis and would like to join our private group, please add your name into the comments or send us a private message and we will get in touch with you.

BRiC's Collective Voice: Coping with Grief and Loss; Sept. 6, 2019

This week, our Sunday discussion focused on our personal experiences of grief and loss. Our members dug deep and gave us some heartbreaking personal stories. How resilient we all are, and how supportive we all are of each other in our sorrow.

If you are a woman living in the UK with a breast cancer diagnosis and you would like to join our private group, please leave your name in the comments or send us a private message.