I was diagnosed with cancer on my thirty-first birthday, December 18th, 2001, five years ago today. Those diagnosed with cancer might be receiving a diagnosis at this time, undergoing treatment or they even might be finished treatment and are on there way to starting their new normal life.

Whatever the case may be, dealing with cancer during the holidays can be rough. Emotionally speaking, it can be very hard to get in the mood and be joyous over the holiday season. Activities like shopping, social events, family gatherings and traveling can lead to high levels of physical effort and stress.

Sometimes it might seem so much easier to avoid social gatherings all together. Remember though, that family and friends are there to encourage and be supportive. It can be hard when you keep hearing how great you look, when you feel like it is not the truth. I believe that those that make that comment really do mean it. When your diagnosed with cancer I think people expect you to look a wreak! Usually that is not the case.

The holiday season could cause some thoughts to creep into your mind--Is this my last year to celebrate with my family? At this time of year it is common for those diagnosed with cancer to think about the future. Its OK to have those what if? questions. Its not negative thinking. Its normal. There is not one best way to deal with these thoughts or anxiety attacks you might be experiencing. Relaxation techniques can help and sometimes anti-anxiety medications can do the trick.

If you are feeling fatigued, let your family know this so they can help. Don't push yourself to do what you have always done in past years, be comfortable with yourself doing less. Set some clear priorities, things you think are most important that you want to accomplish. Always tell your oncologist or another physician how you are feeling. Tell the truth. Don't try and be brave. There are certain medications that can be administered if you are experiencing fatigue that developed from anemia, a common side effect from chemotherapy.

For me this holiday season is a special one. I'm so thrilled to be celebrating the five year milestone of survivorship along with my birthday. I'm so happy to be alive!

Happy Holidays!!