Psycho-oncology works at the intersection of science, humanity, and uncertainty. Despite decades of psycho-oncology research and clinical practice, misconceptions persist about what psychological care in cancer involves. Questions about who should be offered it, who should provide it, and when it should occur continue to challenge implementation in practice.
This presentation will argue that misconceptions rarely arise from ignorance but instead emerge from good intentions, inviting reflection on the subtle and well-intentioned misunderstandings that can shape how we approach the psychological needs of people with cancer. It then explores how debunking misconceptions can strengthen multidisciplinary care and ensure that psychological needs are recognised as central, not a superfluous adjunct to cancer treatment. Finally, it recognises that while specialist skills are essential, everyone can learn foundational communication skills that make a meaningful difference to patients and those who support them.
We know that timely responses to distress and broader psychosocial needs can prevent escalation, reduce stigma, and foster a culture in which seeking help is routine. Drawing on clinical psychology experience, communication skills education, and broader perspectives, this presentation considers how binary views that leave little room for nuance become a barrier to care that aligns with patient needs and available resourcing. Examples such as seeing psychological care as either “specialist” or “everyone’s job” (missing the nuance of how shared multidisciplinary responsibility works best when matched to patient needs, resources, and clear referral pathways) will be provided.
At its centre is the patient – the person who is on the rollercoaster of the cancer experience. When we humbly approach the person with curiosity, we can work towards an understanding that not everyone has the same role in psychological care, but everyone does have a role. In doing so, we can centre the human experience at the core of cancer care.