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Cancer and Beyond

You deserve to thrive, not just survive. But - how?

The diagnosis hit you like a ton of bricks. Chemo's meant to be life saving but feels life sapping. Survivorship is oddly disconcerting (“Shouldn’t I be happier?”). And we struggle to talk about the alternative…even though planning for end of life helps us live well.

What concerns bring you here?

Emotional upheaval
"I can’t shake the fear that the cancer might return. It consumes what little energy I have."
Shifting roles
"I feel ambivalent about returning to work. I don't want my colleagues to treat me as 'the cancer patient'."
Caring for a loved one
"I’m terrified of losing my partner. I struggle to be honest about how I feel."
Seeking meaning
"What am I good for if I can't take care of my family?"
General health demands
"They told me to “exercise regularly.” How do I do that when I'm too weak to walk to the bathroom?"
Managing treatment
"I’m being asked to make a very difficult decision about treatment. I don’t know what to do."

Dr. Singh's approach to your therapy

As an experienced psycho-oncologist who has served on several medical teams, Nina takes a "whole person" approach to therapy. She supports your emotional, physical, social, cultural, and existential health and goes well beyond "symptom reduction." This leads to therapy that strengthens your sense of self, while helping you navigate the practicalities of life, health, and relationships.
Whatever stage you may be in, the burden of cancer is immense. And yet, you are so much more than a diagnosis. We collaboratively design your therapy to help discover and empower the parts of your life that remain untouched by illness.
Your reality is complex and complicated. Nina strives for excellence in your care by: 1) applying the latest psychology research to your therapy, 2) with your permission, consulting and advocating with your medical team, and 3) fostering trust, transparency, and collaboration in therapy.

Science-backed care for coping with cancer

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Cognitive-Behavioral Therapy

Also called CBT for Cancer. Often considered the gold standard of psychotherapy in general, cancer-focused CBT helps explore the thoughts, feelings and behaviors that impact well-being and ability to cope. Examining difficult thoughts and behaviors in a safe, supportive space helps develop more adaptive responses to cancer-related challenges.

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Acceptance and Commitment Therapy

a.k.a. "ACT." ACT helps develop awareness, self-compassion, and acceptance (different from agreement or "giving up"!). By unsticking ourselves from distressing thoughts and emotions, we can find actionable ways to live a life with value and meaning. An increasingly researched approach among folks with cancer, ACT is shown to significantly help manage anxiety, depression, and fear of recurrence, and improve quality of life.

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Survivorship Program

A multi-pronged treatment developed by Psycho-Oncology clinicians and researchers at the University of California, San Francisco [UCSF] Hellen Diller Family Comprehensive Cancer Center. Our adapted program addresses stress, fear of recurrence, sleep, sexuality, goal-setting techniques, existential wellness, and values-based living. Your therapy will be personalized to focus on what matters most for you.

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Meaning-Centered Therapy

We have the ability to find meaning even in times of great suffering. Meaning-centered therapy is designed to enhance a sense of meaning and purpose in life, address existential concerns, improve coping strategies and resilience, and foster a sense of hope and peace. For those struggling with cancer and other conditions, this therapy might help your quality of life by helping engage with life in creative, modified ways.

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Dignity Therapy

Facing terminal illness is devastating. Feeling that hope and purpose is past one's reach is perhaps why dignity therapy is designed to support "a good death." You/your family are invited to share meaningful aspects of your life that you are proud of, and speak about things you need to say and have remembered. We then create a legacy document that you may wish to bequeath to your loved ones. Dignity therapy can help with a sense of meaning, purpose, and self-worth - even when all feels lost.

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Goals of Care

You've likely had several goals of care discussions with your oncologist/s, meant to explore treatment and/or palliative options. If you feel you need additional support for a particularly difficult decision, psychologists at Inclusive Health are experienced in helping with this process. Your therapist will help you clarify your most important values at this time, weigh the pros and cons of each option, and support productive communication with loved ones.