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NCCN Guidelines for Patients



Distress, Version 1.2017

How to use this book

Who should read this book?

Distress is very common among people with cancer.

Patients and those who support them—caregivers,

family, and friends—may find this book helpful. It may

help you talk with your cancer care team about your

distress and get help if needed.

Where should you start


Part 1

is a good starting point to learn what distress

is. In

Part 2

, the tools used to assess for distress

are described, and in

Part 3

, the types of help for

distress are described.

Part 4

provides information

to help you talk with your health care providers and

obtain help.

Does the whole book apply

to you?

This book includes information for many people.

Your cancer care team can point out what parts of

the book apply to you. They can also give you more

information. As you read through this book, it may

help to make a list of questions to ask your health

care providers.

Help! What do the words


In this book, medical words are included. Some of

these words may be new to you. Don’t be shy to ask

your treatment team to explain a word or phrase that

you do not understand.

Words that you may not know are defined in the text

or in the


. Acronyms are also defined when

first used and are in the


. Acronyms are

short words formed from the first letters of several

words. One example is CBT for