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NCCN Guidelines for Patients



Distress, Version 1.2017




Distress is an unpleasant experience of a

mental, physical, social, or spiritual nature.



Everyone with cancer has some level of

distress at some point in time.



Distress may limit how well you function,

interfere with your health decisions and self-

care, and worsen your health.



You may be more likely to be distressed than

other people. Having uncontrolled symptoms,

money problems, a lack of support, and other

factors increases the likelihood for being




There will be times during your cancer journey

when being distressed is more likely. A change

in your health, treatment, or health providers

may lead to distress.


What is distress?


I worried how we would survive this



Survivor, Multiple Myeloma