Living well with metastatic breast cancer

Looking after your physical self

Some people choose to make drastic changes to their diet after a diagnosis of metastatic breast cancer. There is no scientific evidence that people with metastatic breast cancer need a special diet, or that a particular diet can make a difference to your long-term prognosis. However, a healthy, balanced diet can help you to feel your best. When you feel well enough to eat, try to include foods from all five food groups in your diet:

• bread, cereal, rice, pasta, noodles
• vegetables
• fruit
• milk, yoghurt, cheese
• meat, fish, poultry, eggs, nuts, legumes

Some regular light exercise, such as walking, swimming or gardening, can also help to manage symptoms and side effects by:

• increasing energy levels
• reducing fatigue, pain, nausea and vomiting
• aiding digestion
• improving sleep
• improving strength and flexibility and the functioning of your heart and lungs.

Swimming or walking in a warm pool can help with joint pain.

Looking after your emotional self

Having metastatic breast cancer poses some challenges and it can be emotionally exhausting. There is no rule on how to manage emotions. You have to listen to what your heart says is right for you – and that can change over time.

Being able to talk about emotions is helpful. Sometimes talking to family members and friends is the best way to handle your feelings. However, it’s hard sometimes to share dark thoughts with them, or talk about ‘what if?’ Talking to someone outside your family and friends, such as a trained counsellor, can be a great relief.

You don’t have to protect a counsellor from things that are worrying you. They won’t criticise or trivialise your concerns. Most of all, they will listen and won’t compete with you by telling you about their own problems.

Some GPs have specialist training in counselling. If not, your GP will be able to refer you to a psychologist, social worker or other trained therapist. You may also be eligible for a Medicare rebate for counselling.

Talk to your GP about this if you think a number of sessions may be helpful for you.

Your time

With so much going on in your life, it’s good to remember that it is okay to take some time for yourself and do things that you want to do. You may like to write a list of all the things you enjoy, big and small, so that if you have some time on your hands or are feeling down, you can refer to your list for inspiration.

It is also important to listen to your body and take time to rest when you need to.