According to an article in CANCER, mental illness and emotional distress in patients with advanced cancer is often overlooked by oncologists, but proper management can improve a patient's quality of life.

The review article was written by Dr. Michael Miovic and Dr. Susan Block from the Dana Farber Cancer Institute and Brigham and Women's Hospital in Boston.

Miovic and Block found that 50 percent or more of patients with advanced or terminal cancer suffer from at least one of three major disorders: adjustment disorders, anxiety disorders and depressive disorders. Medical management of cancer has improved in the last decade, but management of mental health issues has lagged, according to the authors. Studies show that depressive symptoms can even impact patients' lives even more than pain.

The authors recommend listening as the most important screening tool in the oncologist's toolkit.

I promised two weeks ago when I wrote Sunday Seven: Seven ways to fine-tune your health that I'd be back to offer seven more grand ideas for optimizing your physical and emotional well-being. Here I am, with a mini-list of suggestions I gathered a while back from a newspaper article. If you don't already practice these strategies, then why not give them a try.

Eat breakfast

It's the most important meal of the day -- really. A breakfast high in complex carbohydrates and protein creates energy. Energy kick-starts metabolism and helps our bodies burn fat. We all know what fat does. It weighs us down and contributes to all kinds of health problems.

Get your sleep

Sleep restores our bodies. Sleep-deprived folks secrete more leptin, a protein hormone that increases appetite. Larger appetites increase food consumption. Increased food consumption spikes the risk of obesity. And so on. You know the drill.

Worklife doesn't stop once you've been diagnosed with cancer. Many women have to--and want to--work during and after treatment. Cancer and Careers offers information and tools to help working women manage their battle with cancer as effectively as they manage the rest of their lives.

One great tool on the website is the paperwork section where you can find many guides including help with insurance issues, disability, financial assistance, legal assistance, health insurance and your legal rights in the workplace.

Make sure you take advantage of the Charts/Checklists section. It is amazing that cancer can actually seem like another job. Keeping your life organized with appointment logs, treatment charts and drug logs can really make life easier.

There are also many other resources on this website including emotional support, inner strength and taking charge tips.

When you're knee deep in the mess of stress, anxiety, disappointment, panic, fear -- you name it -- isn't it nice to escape for a moment, to feel relief from the burden of heavy emotion? I think so. And I happen to know from personal experience a few techniques that have a calming effect on the most overworked of minds. I'll make it brief, because I know reading volumes of self-help advice is not what's on your worried mind.

• Listen to a favorite song, or any song. It will shift your focus and put your mind in the context of the song. You may even feel recharged and motivated.

• Write down your thoughts. Just write. Don't worry about grammar, spelling, or sentence formation. Just jot down what's on your mind. Transfer your emotion to paper -- or the computer screen -- and see how relieved you can feel.

In this Worthy Wisdom series, I have been spouting off all sorts of grand ideas about health and healing, diet and nutrition, exercise and fitness. What I share all comes from Canyon Ranch in Tucson, Arizona. I spent four days there. I plan to spend a lifetime practicing what their experts preach.

Canyon Ranch worked for me. I bought into every one of their healthy living approaches and for the two months since I've departed this desert destination, I've done just about everything right -- the eating, the exercising, the de-stressing. And as I sit here eating a bowl of red raspberries instead of a bag of chips and handfuls of M&Ms, I think it's only fair I make a confession.

I've made many attempts at changing my lifestyle. I've gone without sweets several times in my life, only to later reintroduce them into my daily routine and inevitably go way overboard on my consumption. The same goes for soda. There have been times when I've obsessed about exercise. And times when I've let it go altogether. My stress levels have been up and down and all around. I've searched long and hard for the motivation to change, to do better, be better, feel better. It took cancer to push me over the edge, toward positive and long-lasting change.

In a report in CANCER, University of Pennsylvania researchers report that Pennsylvanians with cancer are not having their psychosocial needs adequately met. Over the past twenty years, there has been little improvement in meeting such needs, including those related to daily living, transportation, financial and emotional issues.

The study involved a needs assessment survey sent to about 2,500 participants. Nearly two-thirds of the respondents had at least one unmet psychosocial need including emotional (anxiety, depression), physical (fatigue, nausea, vomiting or pain) and treatment-related needs.

The researchers found that the young reported the most unmet needs. "This may be due to the fact that their resources and support systems may already be stretched to the max in dealing with these problems," says Frances K. Barg, PhD, MEd. Barg goes on to explain that cancer in younger people is "incredible disruptive in terms of role function," including work, parenting and schooling.

My husband and I have a friend who was recently diagnosed with a sarcoma. I don't have more specific details about what kind of cancer it is, except that he went to the emergency room with groin pain and the doctors found a mass. Our friend is being treated at the Mayo Clinic, but he and his wife return on weekends, and we have dinners with our large extended family of friends, all together, every Friday night. We have been having these Friday night dinners for years now. We call them Friday Night Literary Society as many of the friends teach in the English department at the local university, or used to, as I did.

The point of these dinners, though, is to have fun. It is not to mention cancer, treatment, or anything else. Our friend doesn't want to talk about it, doesn't need the reminder. I'm sure it's never far from his thoughts. I sat next to his wife tonight, and she talked about how well he was responding to treatments, how he wasn't nauseaus from the chemo. The doctors say he will need surgery in August, and will probably have to have his right leg amputated. It's stark and horrible, and we are all affected by it.

Because we are a tight-knit bunch, we all talked among ourselves because we didn't want to ask the family too many questions, didn't know what they needed from us. We all wanted details, but we didn't know how to get them. The family wanted us to know details, but didn't really want to contact everyone individually. Fortunately, or unfortunately, we are a group who has known tragedy. Another friend died of cancer a few years ago. Yet another was covered yesterday in the Survivor Spotlight. There are more. So, the solution to the communication problem is this: Select a point man. Select one person who is responsible for updating everyone else on what is going on.

Think about this:

I was going to write a blog later in my series of blogs on toxins and stress and disease from the studies that I have been reading for the last month. But since a comment was made about stress and whether it has a correlation to disease to the previous blog I wrote on toxins and stress creating disease in our bodies, I will jump ahead and share some research I found on the relation of stress and disease. A relation to stress and disease has been researched by many doctors, psychologists, and medical research facilities and conclusions are that stress does several things to the body causing it to shut down in areas that can effect the body with disease and illness.

Do the common phrases, Tension Headache, Upset Stomach, Shaky Nerves, Tight Chest, ring a bell? Studies showed that work place stress has created an increase in heart disease and high blood pressure as well as making the body more susceptible to flu and viruses. It also has shown that stress can be related to Type 2 Diabetes as well as obesity. "Stress in general can disrupt the body's ability to process glucose, especially in people whose genetics make them vulnerable", said Richard Surwit of the Duke University Medical Center in a research article in the November/December issue of the journal Psychosomatic Medicine.

Keeping cancer and other diseases like diabetes, heart disease, obesity and more might be as simple as the choice we make in keeping toxins out of our bodies and stress out of our minds. Think about all of the money poured into medicines, which are chemicals, that only treat certain symptoms. And most of the time create other side effects that we have to take more medicines for that in turn create more side effects, and on and on. You see where I am going.

What if only a part of the millions and millions of dollars poured into research on medicines, was put to use in educating the public on the right choices of foods and nutrition to put into our bodies to keep them healthy and to learn how to relax and quit putting so many demands on ourselves. What if more funding went into organic farming instead of mass, quick produced, with fertilizers and steroids for faster turn around on the products. Personally I have had so many chemicals blasted into my body from chemo and radiation, and medicines for this and medicines for that, I am about to think that all of that is only hurting my body more. Are we brain washed to believe that we have to have a pill for everything?

My community does not have a health food store that sells fresh organic produce or meats. And the local grocery stores carry very limited amounts of those items. I did take it upon myself to talk to one of the produce managers who did start ordering some other variety of organic vegetables which I thought was nice. And it seemed to catch on with some other customers too. Maybe the trend in that store will be to start ordering more organic products.

I will be posting a series of blogs on personal research that I am doing and trying out, just because I am sick and tired, literally, of fighting cancer that reoccurs and using medicines that are ripping my body apart leaving my immune system even more at risk for infection and disease.

But the one thing that I want to emphasize in this blog right now, is to STOP EATING processed and canned foods. It may be quicker to heat up a can of food or something already processed and pre-made for us, but it is not healthier. Eating fresh organic vegetables and home made prepared foods without chemical preservatives and other additives is the way to go to start getting some of those toxins out of our bodies. If you can't find fresh in something, because seasons play a big part in our fresh vegetable selections, purchase frozen. Also purchase dried beans or other dried items and cook them instead of buying canned ones. They are healthier than canned. Eating raw vegetables or slightly steamed vegetables is more healthy because the vitamins and nutrients do not cook out of the food.

Cancer is not funny, but I do like the comics about cancer that I have found on the Internet. Mostly they are written and illustrated by cancer patients themselves.

We all need to laugh -- even sometimes at the most un-laughable things. This cartoon reminds of the time when I myself was wearing a very long sexy wig. I also had fake eyelashes and had drawn on my eyebrows.

Going to work one day I got a whistle from a gentleman on the street. I had to laugh to myself -- if he really knew what I looked like underneath all of this I wouldn't be getting any looks!

You can find more cancer cartoons here.

I'm in a stable relationship now but I spent a few years entrenched in the dating scene and though I look somewhat fondly on my days of single freedom, I still shudder at the bad things about dating -- awkward silences, clumsy first kisses, realizing that you have no chemistry and you still have two more courses of conversation to fill. But we still put up with all of this because by nature, we want to find that someone. We know they're out there, somewhere.

Considering how difficult the dating scene was on someone like average like me, I can't imagine how hard dating would be for those who are un-average--those who are ill or disabled or disfigured. In a world where outwardly appearances and 'fitting in' are so important, how do you meet people who won't mind that you come with a few flaws?

Yesterday I visited the High Points Monument at High Point State Park. It was a fitting day to visit the monument -- Memorial Day. The monument was built and dedicated to the memory of New Jersey's wartime heros. Construction was started in 1928 and completed in 1930.

My husband and I climbed the stairs up the 220- foot structure for a breathtaking view of the ridges of the Pocono Mountains, the Catskill Mountains and the Wallkill River Valley.

The high points in my life can come unexpectedly. I think we should all think about what the high points in our lives have been and cherish the memories. A camping trip in an RV, my husband and two dogs this weekend was definitely a high point in my life. High points don't have to be something monumental -- no pun intended. High points can be small things that make the day a joyful one.

Find as many high points in your life as you can.

A study published in Cancer, a peer reviewed journal of the American Cancer Society, found that cancer survivors are more likely to seek out support groups than individuals with other chronic conditions. They stated that one in four survivors participate in a support group after diagnosis.

According to the study, treating physicians seemed to recognize that support groups are helpful but only one in ten cancer patients studied had received a recommendation to seek out a support group. Support groups are widely available but seem to be poorly handled by the physicians.

Dr. Jason Owen, co-investigator in the study, says "This study sheds light on which individuals with cancer use (support) services. It will help clinicians recognize the importance of support groups for cancer patients. Assistance in identifying and accessing support groups should be a standard of care for all patients receiving curative, follow-up, or palliative care for cancer".

This past mothers day weekend I attended the Shirley Mae Run & Gilda's Club Walk held in Atlantic City, New Jersey. It was a beautiful Saturday to take a stroll on the boardwalk. My dad flew in from Arizona for the event and my mom drove from Philadelphia. I'm very lucky that my parents are so supportive.

The Shirley Mae Breast Cancer Assistance Fund was started by Roy Goldberg to honor his mother, Shirley Mae, who survived breast cancer. The fund assists breast cancer patients in the south-eastern area of New Jersey with the cost of medicine, wigs, prostheses, and anything else needed to relieve financial stress so they can focus on healing and becoming survivors too.

You can receive many benefits when you practice relaxation techniques. Some of these include lowering your blood pressure, reducing muscle tension, enhancing the immune system, better balance, improved memory and increased energy. It can also potentially improve concentration and cause you to be more efficient in daily activities.

1. Yoga -- is defined by Wikpedia -- its ultimate goal is the attainment of an eternal state of perfect consciousness. I find it to be a great relaxation technique to try. It really seemed to clear my mind by the breathing and concentrated movements. It brings yourself into a state of relaxation by blocking everything out and concentrating on what your body is doing.
2. Tai-Chi -- This type of relaxation technique is something that I have never tried. MayoClinc.com describes --Tai chi as a noncompetitive, self-paced system of gentle physical exercise. To do tai chi, you perform a defined series of postures or movements in a slow, graceful manner. Each movement or posture flows into the next without pausing.
3. Music -- We know how music can induce many emotions to surface. Emotions from the past for instance, can't some songs just bring you back to how you felt in that past moment? It makes sense to me that forms of music can calm and relax.
4. Exercise -- This relaxation technique can mean anything from cardio, weight training and low impact exercises. It really depends on the individual, some will get lots of stress relief when a training consists of higher impact workouts. Don't forget walking -- its one thing we can all try to do more of.
5. Meditation -- I'm no expert on meditation but I have listened to a few relaxation technique tapes after my breast cancer diagnoses. It seemed to help me relax. I never stuck with it though for some reason. I look at meditation as something that can be found in your own special way. I thought you had to just sit still and listen to music and try not to think -- not a very simple task as I'm sure we all know. I find a nice bath with a book and glass of wine as my form of mediation. You can find yours too.
6. Hypnosis --Again this type of relax technique is one that I have never experienced. It is said to be able to put a person into a deep relaxation stage very quickly and can relieve stress.
7. Massage -- This technique I'm happy to say that I indulge. Especially foot massages, it relaxes my whole body. Its a way to give yourself a much needed gift.

Remember before doing any exercises or relaxation techniques please talk to your doctor to make sure its safe -- especially if you have any medical conditions.