As a cancer survivor, you know that the effects of the disease and its treatments are not merely physical. There are psychological, social, emotional, and spiritual impacts as well, and many times it is difficult to separate these from the physical effects because they can be closely intertwined. Many of these affect quality of life, including fear, anxiety, anger, depression, frustration, and changes in family roles, self-image, and self-esteem. And like cancer's physical impacts, they may be felt years later.

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• National Coalition for Cancer Survivorship
• Office of Cancer Survivorship
• Congenital Heart Information Network: C.H.I.N. is an international organization that provides reliable information, support services, and resources to families affected my congenital heart disease
• National Cancer Institute
• A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies, 2004, from the Centers for Disease Control and Prevention and the Lance Armstrong Foundation
• Translating Research into Cancer Care: Delivering on the Promise, The President's Cancer Panel: Annual Report for 2004-2005
• From Cancer Patient to Cancer Survivor: Lost in Transition, 2005, from the Institute of Medicine

There are no guidelines for how to survive survival. Indeed, many of these impacts may come and go and play different roles at different times during and after treatment.

This section addresses:

• Fear of recurrence
• Anxiety
• Grief
• Depression
• Body image and self-esteem
• Spiritual effects
• Survivor guilt
• Social impact
• Relationships
• Re-entering life and the workplace