When I first started going to counseling, I was told I would need eight to 10 sessions of cognitive behavioral therapy to help me deal with my anxiety, my panic, my fear of breast cancer recurrence. My first session was in May 2005 -- and I am still going. Those initial sessions are possibly all I really needed -- and perhaps I could have stopped the therapy long ago. But stopping never came up and no one told me I had to call it quits so I kept on marching into territory I had never before traveled. I have a degree in counseling -- but I'd never been counseled. I know how to listen to others and share empathy and ask open-ended questions -- but I'd never been the one talking and sharing and venting and crying and answering questions. Until last May -- when I discovered the appeal and the comfort of the counseling chair.I marched into one of my sessions yesterday and plopped into a brown faux leather recliner. I talked about my recent graduation from Herceptin therapy and about how I might manage in life now that treatment is over. I talked about my jobs -- as a writer and a preschool teacher -- and how they fit into my world. I talked about the level of stress in my days and about how my once constant fear that cancer was trailing me has largely diminished. I talked about how breast cancer is no longer my constant companion -- about how it is now just an acquaintance. And I talked about how counseling was once so necessary and about how it is now just a luxury that helps me maintain peace as I live forward.
I am not sure when I will stop going to counseling. But I'm not completely sure of much anymore. And I've learned from counseling to not really question the future -- to just live in the moment and to give thought primarily to the here and now. And right here, right now, I'm sticking with my sessions, my one hour every month, my comforting counseling chair.











1. Don't know much about cancer counseling, mainly because there was no such thing at our so-called regional cancer center. Don't know much about the team approach to cancer care either, mainly because there was no such team at our so-called regional cancer center.
In fact, during the eight years my wife was being seen by the oncologists, I often wondered what were they doing? One thing noticed was she saw a different oncologist on each visit to the office (much like musical chairs). I never understood why? Who was in charge?
One of the wisest decisions we made when the first recurrence happened (after twenty-four years), was to go to a NCI-designated cancer center for treatment. However, after surgery, we went to our local community hospital. There was a shift, some twenty years ago, from the institution-based, inpatient setting to community-based, ambulatory sites for treating the majority (over 83%) of the nation's cancer patients.
It's so good to hear that some cancer centers are doing this counseling that Jacki so eloquently relates to. And coming from a counselor herself. I'm sure it would have helped my wife and me. I'm sure when Jacki looks back from the future, she'll know that it was comforting.
Posted at 10:01AM on Jul 14th 2006 by Gregory D. Pawelski