Body image is a complex topic. Instilled at a young age, we become aware of our bodies, what we feel in our skin, what makes us who we are, and how we want others to perceive us. Personal body image develops throughout our lives and can be influenced by any number of events or situations—puberty, pregnancy, age, and health conditions. So, what does body image and acceptance look like for a cancer survivor? Cancer and its treatments affect each patient differently and may include: Temporary or permanent hair loss Weight gain or loss Scarring Loss of limbs, organs or breasts Changes in physical and sexual abilities Infertility/menopause Swelling Skin changes and nails. WHY IS BODY IMAGE IMPORTANT? With physical changes come emotional consequences. Just like there are many stages of the oncology journey, there are many emotional stages to go through this journey. The way you view your body affects everything from your self-esteem to your level of comfort in relationships. Nearly half of all cancer survivors struggle with body image changes, and yet many downplay body image problems out of shame and embarrassment. The first step in treatment and healing is to recognize that concerns about body image are normal. SIGNS OF NEGATIVE BODY IMAGE An initial cancer diagnosis can be shocking, and the only goal will likely be survival. But what happens when a cancer patient has to start living? After treatment, the reality of living with body changes can turn into a negative self-image. A few signs of a negative body image: Dissatisfied with one's appearance Avoidance of the mirror Preoccupation with physical impairments resulting from cancer and treatment Avoidance of social situations Distress in relationships Problems with intimacy Obsessive behavior regarding improving one's appearance Stress, anxiety, or depression as a result of body image WHAT NOW? You have determined that you are going down a dark path to negative thoughts, but what can you do about it? Know that grief is possible and there is nothing to be ashamed of. Identify areas of grief that you may need to work on. Assess toxic thoughts. Negative thoughts lead to negative feelings and behaviors. If you can identify that first negative thought, you have the opportunity to create positive change. Offer a positive counter thought or positive behavior to combat negative feelings and boost self-esteem. IMPROVING SELF-ESTEEM Every morning, find three things you like about yourself (mirror exercise). Practice positive affirmations: - “I accept my body, I will do anything, What is in my power to love him and help him heal.” - “My body supports my healing process.” Take time to get to know your body. - Touch your scars in the bath. - Find out what you like and don’t like. .Learn to laugh at some changes. Humor is healing and engaging. Surround yourself with positive, supportive people. Make a list of your past successful relationships, not based solely on what you look like. SUPPORT AND RESOURCES Dealing with body image issues and their emotional impact doesn't have to be a lonely process. Talk to other people who have been in similar situations and can support positive thinking. You are responsible for yourself—your thoughts, your environment, and your body. Be patient with changes and explore opportunities for improvement. And give time to adapt. It takes time to adapt, so treat yourself with compassion and kindness.