Breast & Ovarian Cancer

The shock of the diagnosis. The uncertainty of treatment, results or mortality. The feeling of everything being out of our control.  

But first… 

What is Breast Cancer? 

A kind of cancer that begins as a growth of cells in the breast tissue. Abnormal breast cells grow out of control and form tumours.  

Breast cancer usually occurs in older women above 50 but can also affect men and younger women. In Singapore, breast cancer is the most commonly occurring cancer among women, accounting for 29.7% of all cancers diagnosed in females. 

What is Ovarian Cancer? 

It occurs when abnormal cells in ovaries or fallopian tubes grow and multiply out of control. It may originate from the ovary or more commonly from nearby structures such as fallopian tubes or the inner lining of the abdomen.  

Ovarian cancer usually occurs in older women above 60 who are in the menopausal stage but can also affect younger women. In Singapore, ovarian cancer was 4.4% of all cancers diagnosed in women from 2016-2020. It is the 5th most common cancer in Singaporean women. 

Mental Health Challenges 

Here are the moments that women may struggle the most in the cancer journey:  

6. Awaiting follow-up results  

  • Waiting for the outcomes of follow-up tests 

7. Survivorship phase (Life after diagnosis or treatment) 

  • Persistent guilt (about family, children, responsibilities) 

  • Fear of recurrence 

  • Diminished self-esteem 

  • Problems with social acceptance and body image 

  • Difficulty in re-entry into previous life 

  • Perceived and actual loss of employment and insurance discrimination 

  • Concerns about infertility 

8. Symptom recurrence 

9. Facing end of life 

As treatment goes on, distress heightens (with all the physical and social impacts too). It is then no surprise that these can culminate into anxiety, depression, PTSD, or other conditions. 

1. Before diagnosis  

  • Noticing a concerning symptom  

  • Anxiously awaiting test results 

2. Initial diagnosis  

  • Receiving the news of the diagnosis for the first time 

3. Anticipating treatment 

  • Waiting to learn about the recommended treatment plan  

4. Leaving the hospital  

5. Completion or adjustment of treatment  

  • Fear of finishing a treatment course   

  • Adapting to a change in the plan 


How to Cope, Psychologically 

Receiving a diagnosis is never easy. The shock and distress can be overwhelming, and we might not know how to cope with such complicated emotions and thoughts.  

Yet, how we feel, think and cope with the diagnosis and treatment can greatly affect our physical health, treatment progress, adherence and recovery. So let’s take time to prioritise ourselves – physically and mentally.

Here are some ways to cope better: 

1. Find your support pillars 

Lean on those trusted friends and family, they tend to be the reasons we keep going even in tough times. 

Many have also gone through the same journey, and we do not need to fight cancer alone. Consider the links below to find communities of like-minded individuals who may share the same struggles as you:  

How are you feeling? What emotions can you pinpoint exists? Was it fear, anxiety, shock, anger, regret, or hopelessness?  

What about your thoughts about this journey – from diagnosis to treatment? What do your thoughts tell you about… 

  • Cherished things and people 

  • Personal hopes and dreams 

3. Stay engaged, moment-to-moment 

We know we bring up mindfulness often, but bear with us. When time seems limited and more precious than ever, we often want to capture and “stay” in the moments we cherish the most.  

This speaks to a part of us that wants more presence, and connection to what is going on around us. To do so, we need pause, observe and engage.  

Here’s our guide to being more mindful (general tips are at the bottom of the article). 

4. Show kindness to yourself 

Your pain and suffering is valid. Your feelings are valid. The journey is not easy, and there is little that others can do to make it easier on us.  

 Yet, how do we respond to our pain and emotions? What our pain and emotions often need is soothing. Like a mother soothing a child in pain, aim to soothe the pain and emotions within you. Here are some ways to soothe and be kind to yourself: 

  • Cry it out 

  • Calming music or smells  

  • Visualise a place that is calming to you  

    • Sunsets, starry night sky, pet café, comforts of a bed or bath 

    • Focus on your 5 senses  

  • Repeat personal mantras  

    • “I can do this” 

    • “I got this” 

    • “Take it easy” 

    • “This will pass” 


People differ in how they cope with difficult emotions and painful situations. There is no “best” method here, so find ways that you are comfortable with and personalise your recovery journey in your own way.  

“It is during our darkest moments that we must focus to see the light.” – Aristotle 

Highly Sensitive Persons (HSPs): Understanding and Thriving with Sensitivity

In today’s modern society, we recognise that being highly sensitive is not a weakness but a unique strength. If you’ve ever been told you’re "too sensitive" or find yourself overwhelmed in certain situations, you might identify as a Highly Sensitive Person (HSP). In this article, we’ll explore the traits, challenges, and strengths of HSPs, along with practical strategies and how therapy can help. 

If you’re looking to understand high sensitivity and how it relates to mental health, emotional well-being, and stress management, you’re in the right place.  

What Is a Highly Sensitive Person (HSP)?

A Highly Sensitive Person is someone who experiences heightened sensitivity to physical, emotional, and social stimuli. It’s not classified as a mental disorder but a personality trait that shapes how individuals process their experiences.

This personality trait, known as Sensory Processing Sensitivity (SPS), was first described by Dr. Elaine Aron. It is thought that around 15-20% of the population are HSPs.

Traits of Highly Sensitive Persons (HSPs)

HSPs have unique qualities that distinguish them:

  • Deep Emotional Processing: HSPs think and feel deeply about their life experiences.

  • Heightened Empathy: They often pick up on the emotions of others with great accuracy.

  • Awareness of Subtleties: HSPs notice small details in their surroundings.

  • Overstimulation: They can feel overwhelmed in loud, crowded, or chaotic environments.

These traits often overlap with topics like emotional sensitivity in relationships, managing overwhelm, and mental health coping strategies

Strengths of Being Highly Sensitive

Sensitivity can be a powerful asset. HSPs often excel in: 

  • Creative Expression: Many HSPs are highly artistic and innovative. 

  • Emotional Intelligence: Their empathy helps them build meaningful relationships. 

  • Attention to Detail: Their awareness of subtleties makes them exceptional problem-solvers. 

  • Connection with Nature: HSPs often find peace and inspiration in natural settings. 


What Challenges do Highly Sensitive Persons Face?

Highly Sensitive Persons face unique challenges due to their heightened sensitivity to a combination of emotional, physical, and social stimuli. They often experience overstimulation in chaotic or noisy environments, emotional exhaustion from deeply processing their own and others’ feelings, and sensitivity to criticism, which can impact self-esteem. HSPs may struggle with setting boundaries, avoiding conflict, and balancing their need for rest with social obligations, leaving them prone to stress, burnout, or anxiety. They are also more likely to feel misunderstood or invalidated in a world that often prioritises resilience over sensitivity.

  • Overstimulation and Burnout: Crowded spaces or busy environments can be draining.

  • Difficulty Setting Boundaries: Many HSPs struggle to say no, leading to exhaustion.

  • Sensitivity to Criticism: HSPs can feel deeply hurt by negative feedback.

  • Stress and Anxiety: Their heightened emotional reactivity makes them more vulnerable to stress.

Misconceptions About HSPs

Sensitivity is often misunderstood, and it’s important to address some of the common misconceptions surrounding Highly Sensitive Persons (HSPs). First, sensitivity does not equate to weakness; it is a natural personality trait that can be a source of great strength when understood and embraced. Additionally, not all HSPs are shy. In fact, research suggests that approximately 30% of HSPs are extroverted.

Lastly, high sensitivity is not a mental health disorder but rather a distinct personality trait that shapes how individuals process the world around them. Recognising these distinctions is essential for promoting mental health education and fostering greater self-awareness, empowering HSPs to embrace their unique characteristics.

How Highly Sensitive Persons Can Thrive

With the right strategies, HSPs can live fulfilling and enriching lives. Consider:

  • Self-Care Practices: Create downtime for recharging, practice mindfulness, and design a sensory-friendly space.

  • Healthy Boundaries: Learn to say no without guilt and prioritise your needs.

  • Stress Reduction Techniques: Engage in calming activities like yoga, meditation, or time in nature.

  • Supportive Relationships: Surround yourself with people who respect your sensitivity.

How Therapy Supports Highly Sensitive Persons

If you feel that you have traits of sensitivity that are affecting your daily life, you may want to consider seeking professional help. Psychologists can help HSPs explore their sensitivities and build resilience. Our services include:

  • Cognitive Behavioral Therapy (CBT): Manage overwhelming thoughts and emotions effectively.

  • Emotion Regulation Therapy: Develop tools to handle intense feelings.

  • Assertiveness Training: Build confidence in setting boundaries.

  • Psychoeducation: Understand your sensitivity and how to leverage it as a strength.

Supporting Highly Sensitive Children

Children can also be highly sensitive.

As parents, it is important to understand our child’s unique temperament and how to nurture them. Highly sensitive children thrive in environments that are safe, structured and predictable. Encouraging verbal and emotional expressions is another powerful way to support their development, as it allows them to communicate their needs in a meaningful and non-destructive or oppositional manner. Equally important is ensuring that we provide ample opportunity for rest and quiet time to recover from overstimulation.

These strategies form the foundation for effective parenting approaches for sensitive children and can be complemented by child therapy to enhance emotional regulation and resilience.

Celebrating Sensitivity 

At Annabelle Psychology, we believe sensitivity is a gift that enhances your ability to connect, create, and contribute meaningfully to the world. By embracing your sensitivity, you can unlock your full potential. Whether you’re navigating the challenges of high sensitivity or seeking guidance to thrive, our team is here to help.