Purpose
With advancements in cancer treatment, patients now experience longer survival and are able to reintegrate into community life. However, cancer’s recurrent and metastatic nature often leads to significant psychological distress. Mental health needs are often overlooked in cancer care, especially in culturally conservative societies. This study explores the necessity and perceptions of psychological counseling among cancer patients during treatment.
Method
A qualitative design using semi-structured interviews and content analysis was conducted at a specific medical center. Eight cancer patients participated in face-to-face interviews, guided by a predefined outline and supplemented with follow-up questions. The researcher served as the primary instrument for data collection. Ethical approval was obtained in accordance with institutional guidelines.
Results
Participants described emotional distress stemming not only from the disease itself but also from environmental factors and support systems. Physician-patient relationships significantly influenced patients’ coping strategies. Cultural background, limited knowledge of counseling services, and financial concerns were common barriers. Some patients expressed ambivalence or skepticism toward counseling, reflecting cultural stigma or unfamiliarity with psychological services.
Conclusion and Recommendations
In Taiwanese society, where traditional Chinese cultural values are still influential, psychological needs may be suppressed due to prevailing social norms. Improving awareness, access to counseling, and enhancing mental health literacy among healthcare providers are essential to support cancer patients’ emotional well-being and adaptation. These findings underscore the need for culturally sensitive mental health training and the integration of psychological support into standard cancer care practices. Integrating mental health screening into routine oncology care may serve as a feasible entry point for early psychological support.