Mental Health and Counseling for Caregivers

Caring for someone with cancer can be rewarding, but it can also be stressful and emotionally hard. Many caregivers feel anxious, overwhelmed, sad, tired, or isolated at times. These feelings are common, and you do not have to face them alone.

Knowing what to look for can help you get the support you need sooner.

Why your mental health matters

Taking care of your mental health is an important part of being a caregiver. When stress, anxiety, or other emotions build up, they can affect your sleep, energy, relationships, and overall health.

Getting support when you need it can help you:

  • Feel better
  • Manage the challenges of caregiving
  • Continue caring for your loved one while also taking care of yourself

Common emotional challenges caregivers face

Cancer can bring on many difficult emotions for people with cancer, their families, and caregivers. These feelings are normal responses to such a life-changing experience.

You may worry about your loved one. You may feel frustrated because you cannot do more. New responsibilities can also add stress. Caregiving can also change your relationships and daily routine.

Common emotional challenges that caregivers may have include:

  • Stress and feeling overwhelmed
  • Constant worry or anxiety
  • Depression or sadness that won’t go away
  • Anger or frustration
  • Guilt
  • Feeling lonely
  • Fear about the future
  • Grief before or after a loved one’s death
  • Feeling emotionally drained (caregiver burnout)

It’s common to have many different feelings at the same time. This doesn’t mean you are a bad caregiver.

Signs you may need more support

It’s normal to have good days and bad days while caring for someone with cancer. But if these feelings last for weeks or make it hard to get through your day, it may be time to ask for help.

Asking for help doesn’t mean you’re failing. Many caregivers put their own needs last. But getting support is one way to care for yourself so you can continue caring for your loved one.

Some signs that you may need more support include:

  • Feeling overwhelmed most days
  • Worrying all the time
  • Feeling sad or hopeless
  • Losing interest in activities you usually enjoy
  • Trouble sleeping
  • Feeling tired all the time
  • Trouble focusing
  • Becoming more irritable or angry than usual
  • Withdrawing from family or friends
  • Using alcohol or drugs to try and manage feelings

If you notice any of these signs, talk with your cancer care team. They can listen, help you understand what you are feeling, and connect you with resources.

When to seek immediate help

If you have thoughts of harming yourself or feel like you are in a crisis, get help right away. You can call or text 988 to reach the 988 Suicide & Crisis Lifeline, which is available 24/7. It offers free and confidential support via phone or chat for people in distress and resources for you or your loved ones, including information on finding your local crisis center.

To get immediate help, you can also go to the emergency department or call 911.

How counseling can help

Talking with a counselor can help you manage the challenges of caregiving. Counseling (therapy) gives you a safe place to talk about your thoughts and feelings without being judged. It can be done one-on-one and in a group.

Counselors can help you manage difficult emotions. They can teach healthy ways to cope with stress and solve problems. They can also help you communicate better and take better care of yourself. This can help lower stress and reduce caregiver burnout.

You do not need to have a mental health condition to benefit from counseling. Many caregivers use counseling to manage stress, adjust to changes, and find support during a difficult time.

Types of counselors

Several types of counselors can provide counseling. These include licensed counselors, psychologists, clinical social workers, and psychiatrists. If spiritual support is important to you, you may also choose to talk with a faith leader or other trusted spiritual advisor. Some cancer centers have oncology social workers. They understand the challenges of cancer and can connect you with counseling, support groups, financial help, and other services.

It may take time to find a counselor who is a good fit for you. You may want to ask whether they have experience helping people manage serious illnesses, caregiving, grief, or family stress.

You may also be able to meet with a counselor by video or phone (telehealth) This can make it easier to get care while caring for your loved one.

Support groups

Support groups bring together people who are going through similar experiences. Joining a caregiver support group can help you feel less alone. You can share your experiences, learn from others, and encourage each other.

Support groups may meet in person, online, or via phone, making it easier to find one that fits your schedule. Your cancer care team or hospital may be able to help you find a group.

Other ways to support your mental health

Taking care of yourself is an important part of caring for someone else. Even a few minutes of self-care each day can help lower stress, improve your mood, and give you more energy for caregiving.

Try to:

  • Get enough sleep.
  • Eat healthy foods.
  • Be physically active when you can.
  • Avoid or limit alcohol use.
  • Make time for things you enjoy.
  • Stay connected with family and friends.

Ask your friends and family for help when you need it, and accept help when it is offered. Many people want to help but may not know what you need unless you ask.

Many caregivers feel guilty about taking time for themselves. But caring for yourself is not selfish. Taking breaks or using respite care can help you rest and recharge.

Watching someone you love go through cancer can be very hard. Taking care of your own physical and emotional health can help you continue to care for your loved one.

Learn more about other self-care tips for cancer caregivers.

Paying for counseling

Cost should not keep you from getting help. Many health insurance plans cover counseling, but your out-of-pocket costs may vary.

If you do not have insurance or need help paying for counseling, ask your cancer care team about low-cost or free services in your area. Some employers offer free counseling through an Employee Assistance Program (EAP). You can also ask counselors if they offer sliding-scale rates based on what you’re able to pay.

American Cancer Society resources

The American Cancer Society (ACS) offers several resources that can help support the cancer caregiver throughout their journey.

The ACS CARES® (Community Access to Resources, Education, and Support) navigation support program helps connect caregivers with trusted information, one-on-one support, trained volunteers, and programs that may help with transportation and lodging.

The ACS Caregiver Support Video series offers guidance to help caregivers support their loved ones, while also caring for their own well-being.

There are ACS patient lodging programs, including the Hope Lodge program in some communities, that can provide support when people must travel away from home for cancer treatment.

The ACS Road To Recovery program can help support transportation needs by providing free rides to cancer-related medical appointments.

ACS can also help you find programs and services in your community. These resources can help during treatment and recovery, and provide emotional support.

For connecting and sharing during a cancer journey

Anyone with cancer, their caregivers, families, and friends, can benefit from help and support. The American Cancer Society partners with CaringBridge, a free online tool that helps people dealing with illnesses like cancer stay in touch with their friends, family members, and support network by creating their own personal page where they share their journey and health updates.   

side by side logos for American Cancer Society and American Society of Clinical Oncology

Developed by the American Cancer Society medical and editorial content team with medical review and contribution by the American Society of Clinical Oncology (ASCO).

American Society of Clinical Oncology (ASCO). Caregivers taking care of themselves. Accessed at www.cancer.net. Content no longer available. 

American Society of Clinical Oncology (ASCO). Counseling. Accessed at www.cancer.net. Content is no longer available.

American Society of Clinical Oncology (ASCO). Support groups. Accessed at www.cancer.net. Content is no longer available.

Centers for Disease Control and Prevention (CDC). Staying healthy while you provide care for someone with cancer. Updated August 25, 2025. Accessed from https://www.cdc.gov/cancer-survivors/caregivers/caring-for-yourself.html on July 9, 2026.

Litzelman K, Berghoff A, Stevens J, Kwekkeboom K. Predictors of psychoneurological symptoms in cancer caregivers over time: Role of caregiving burden, stress, and patient symptoms. Support Care Cancer. 2023; 31(5): 274. doi:10.1007/s00520-023-07741-3.

National Cancer Institute (NCI). Support for caregivers of cancer patients. Accessed from https://www.cancer.gov/about-cancer/coping/caregiver-support on July 9, 2026.

National Comprehensive Cancer Network (NCCN). NCCN Clinical practice guidelines in oncology (NCCN Guidelines) Distress Management v2.2026. Accessed at www.nccn.org on July 9, 2026.

Last Revised: July 29, 2026

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