Stating that brain tumors cover over 100 different tumors, experts point out the importance of patient psychology in brain tumors as in other types of cancer. Emphasizing the need for physicians to approach individuals with cancer, who are going through difficult stages, in a way that raises hope, experts recommend that psychiatry should be included in the treatment protocol.
Üsküdar University NPİSTANBUL Brain Hospital Brain, Nerve and Spinal Cord Surgeon Prof. Dr. Mustafa Bozbuğa made evaluations about brain tumors and the acceptance processes of patients.
Brain tumors include over 100 different tumors
Reminding that cancers are a group of diseases that are at the top of the list in terms of human deaths and diseases, Prof. Dr. Mustafa Bozbuğa said, “Cancers can be of very different types and degrees according to their structures, cells of origin, organs and cell proliferation rate. Since brain tumors constitute an important sub-title among all cancers, it should be defined as a difficult disease that affects both the patient and their relatives both physically and emotionally. Brain tumors actually encompass over 100 different tumors. Among them, we can talk about the existence of extremely benign and completely treatable tumors, as well as the presence of extremely difficult, malignant tumors that can last for years, require repetitive surgeries, radiation treatments, and drug treatments. Undoubtedly, this difficult and tiring treatment process affects and deeply shakes the patient mentally as well as physically.” he said.
Reactions can vary from person to person.
Stating that the reactions of cancer patients vary from person to person, Prof. Dr. Mustafa Bozbuğa said, “The person diagnosed with cancer is initially surprised, cannot believe, cannot understand what is happening and tends to deny the situation. 'Is there something wrong?' he asks. The patient becomes enraged and his next reaction is often 'why me!' is in the form. Denial of the truth is actually a defense developed against the feelings of anxiety, panic and helplessness created by the truth. It is accompanied by anger and rebellion. Therefore, this reaction of the patient is quite deep and content.” said.
Individuals' life order is being turned upside down
Stating that the patients generally show the basic symptoms of anxiety disorder caused by feelings and thoughts such as the threat of extinction, the perception of loss, thoughts of separation and death, and feeling death on the back of the neck, Prof. Dr. Mustafa Bozbuğa said, “Since the patient's life order, which he maintains in a certain order and foresees for the future, is turned upside down, he now loses control, but this mental state does not last long even though the situation is uncertain. On the other hand, the patient is in search of a solution.” he said.
They accept the truth and direct their energies towards their new life.
Noting that the patient gradually entered the process of accepting the truth during the solution-seeking phase, Prof. Dr. Mustafa Bozbuğa continued his words by stating that this was followed by the period in which he developed various rationalization and harmony efforts:
“In this period, patients develop responses such as denial, opposition, developing positive thoughts, establishing causal relationships and producing solutions in order to eliminate or at least suppress anxiety. Thus, the patient often begins a period of adaptation and struggle with the disease. This period is a very hectic, often demanding, painful, destructive consumer, full of restrictions, recognized and experienced for the first time in patients with brain tumors. We can also say that it is a period of adaptation in which the patient accepts the truth and directs his energy and spiritual power to his new life. They seek security and balance as they try to live with their illness.”
Physicians should display an attitude that raises hope
On the other hand, Prof. Stating that there is an effort to develop the new normal in the patient's body in an extremely complex flow created by both the disease and the treatments, Prof. Dr. Mustafa Bozbuğa said, “In this extremely unstable and variable period, physicians need to analyze the physical and mental state according to the moment and show the right attitude, word and behavior in their relationship with the patient that will increase the positive emotions, thoughts and hopes required for the treatment of the patient. Afterwards, the disease can progress very differently. If it is progressing in a positive direction, the formation of the new balance becomes stronger and the patient can establish a new normal order. However, negative situations can put the patient into reactive depression. Exhaustion, rebellion, even non-compliance with treatment and refusal of treatment may occur, which usually manifests as 'whatever'. Depending on the course of the disease, many different psychic manifestations can be seen. This period is now a reactive pathological psychic state created by the patient's health or deterioration by reviewing his whole life. said.
Psychiatry should be included in the treatment for better results.
Stating that under the cancer umbrella, the treatment process is carried out with surgery, radiotherapy, chemotherapy, various drugs and general supportive treatments, as is undoubtedly the case in almost all cancer patients. Dr. Mustafa Bozbuğa said, “The intense, profound and inclusive mental impact that occurs in patients with brain tumors is extremely common and common, but unfortunately also has negative effects in terms of the treatment of the disease. Therefore, psychiatry should be included in the treatment protocol for better results in brain tumor patients.” used the phrases.
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