More Americans survive cancer. But the psychological impacts can persist for years

Morgan Newman, a cervical cancer survivor, faced an unexpected and life-altering cancer diagnosis in 2015 at the age of 24. While working as a dental assistant and pursuing studies to become a social worker, an abnormal Pap smear initiated a series of events leading to the discovery of her illness. Initially unconcerned, as similar anomalies were common among her peers, a subsequent follow-up examination involving significant bleeding prompted her referral to a gynecologic oncologist. This ultimately confirmed her cervical cancer, drastically derailing her aspirations and personal life just as she began establishing independence in her own apartment.

Newman's treatment regimen was rigorous, encompassing six weeks of radiation and chemotherapy. Although initial scans indicated remission, the subsequent discovery of suspicious nodules in her lungs necessitated further chemotherapy, which brought with it exacerbated side effects. Beyond the severe physical toll, Newman experienced profound psychological distress. She acutely felt 'stuck' as she observed her friends achieving significant adult milestones like marriage and parenthood. The financial burden of medical expenses forced her to discontinue therapy for anxiety and depression, a crucial support system she had relied on previously. These ongoing challenges underscore a broader national issue: while cancer survivorship rates are increasing—projected to reach 22 million by 2035—the lingering mental health consequences often remain unaddressed.

Nearly a decade later, Newman remains cancer-free, yet the psychological repercussions of her experience persist. Her enduring anxiety about cancer recurrence and the emotional burden of infertility, a residual effect of her radiation treatment, necessitate continued therapy, which she recommenced in 2017 thanks to improved health benefits from a new job. Newman has since become a dedicated advocate, serving on cancer organization boards and working as a grassroots manager for the lobbying arm of the American Cancer Society, passionately promoting cancer prevention. However, the prevalence of mental health challenges among survivors is significant, with studies showing a higher likelihood of anxiety and depression lasting years post-treatment. A survey by Cancer Nation revealed that about a third of survivors reported anxiety about recurrence and issues with 'not feeling like their old self,' yet only one in five sought professional mental health support. This disparity is exacerbated by a shortage of mental health professionals who possess a specialized understanding of cancer's unique physical and emotional ramifications, particularly in areas like Iowa, which paradoxically faces high cancer rates and limited access to mental health services.