How to Keep a Positive Attitude With Cancer

How can you maintain a positive attitude and keep your head up during cancer treatment? First off, it's important to say that you don't always have to be positive. In fact, allowing yourself to grieve and allowing yourself time to vent your anger, frustration, and fears with a good friend is just as important as staying positive. You honor yourself when you allow yourself to express the emotions you feel—whether positive or negative. And the next time you feel an urge to kick the person who tells you "All you need to beat cancer is a positive attitude," you can instead inform them that there really isn't any good evidence that cancer patients with a good attitude live longer.

Chemotherapy Patient
Simon Jarratt/Corbis / VCG / Getty Images

But let's face it. It simply feels better to find the glass half full. And anyone facing cancer certainly deserves as much happiness as possible. What this article is about is giving you a few tips to help you see the glass as half full—when you are only seeing it as half empty. We all know how our mood can change when we answer the phone or a friend or family member drops in, so let's begin with relationships.

Surround Yourself with Positive People and Positive Energy

You're probably already thinking of those friends and family members who bring a smile to your face simply by being present. When you're feeling the weight of the world on your shoulders, they walk in like a ray of sunshine and almost effortlessly lighten your load. These positive friends are there to support you when you need it, don't back away when you want to talk about your deepest fears and bring out the best in you, giving you a gentle push when you need it. They inspire you to be courageous when you are feeling afraid (and anyone who claims they aren't afraid of cancer treatment has an issue with honesty,) and make difficult decisions and choices less daunting.

In addition to the positive people in your life, surrounding yourself with positive energy such as inspirational books and uplifting music can add an extra touch of buoyancy to keep you afloat as you face the tsunami known as a cancer treatment.


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Minimize the Time You Spend with Negative People and Eliminate Toxic Relationships

Before lightening the mood, it's important to weed out what amounts to weeds in our lives. Some may be annoying but are best left alone. Others can choke out the light, and bury all of the beauty.

Sometimes it's hard to avoid contact with negative-minded people—for example, if it's your mother or another relative. For women, this can be particularly challenging if you are the one who usually plays the mediator or referee in family dynamics. It's surprising how difficult it can be for some people to put themselves first—but when you are fighting for your life, you don't really have a choice. We all know of negative people, and know how negative remarks can sting. How much more this can hurt when your defenses are down after your diagnosis of cancer. Think of someone in your life who you can ask to be your spokesman, your "bodyguard" per se. That person who can say "no" for you when you have a hard time saying no. Someone who can politely say "it's time leave" when you don't feel strong enough to do so yourself.

For people with cancer, especially some forms of cancer such as lung cancer, the blame can be cast on the patient, and comments alluding to this can feel like you are being kicked when you are already down.

There are people that you may need to avoid completely, and if you've ever had a relationship that would qualify as "toxic" you may understand where the term "emotional vampires" originated.

Learn to Reframe

Cognitive reframing is simply changing the way you look at a situation or think about a thought. The situation doesn't change, but you do. Inlay terms, it means finding a way of shifting your perspective so that instead of seeing the glass half empty, you can see the glass half full. An example or two might help explain this:

  • If you are scheduled to have eight chemotherapy sessions, how can you respond when you are half-way through? You can groan and talk with a tone of dread about how you still have to face four more sessions. Or instead, you can more lightheartedly say, "Wow—I've made it through four sessions and I only have four left!"
  • Or, instead of grieving the loss of your beautiful or still full head of hair, you can tease those around you that unlike them, you don't need to shave your legs (for a woman) or face (for a man) for several months.

A study looking at young people with cancer (leukemia or lymphoma) using a stress management and resilience including cognitive reframing (as part of a stress management and resilience program) found associated with improved resilience and lower distress.

Enlist a Friend or Family Member to Help

Reframing is something that you don't have to try to do alone. A 2019 study looked at couples who were facing cancer. In the study, it was found that couples can help each other in reframing challenging situations and that when done, it was associated with lower stress levels.

There Are Many Ways to Reframe a Situation

With nearly any circumstance you can do a little reframing, though sometimes it requires a little humor (and a lot of patience). You may not always "believe" your reframed situation, but by simply saying it out loud, you may find yourself feeling more positive. (Honestly, it can be really nice to have perfectly smooth legs without taking a minute to shave or suffering a single nick for many months.) Next time you find yourself stressed or down, try out these strategies for reframing the situation or thought.

Consider a Mantra

We might joke about people "chanting," but self-affirmation is one method of coping when an illness threatens our very integrity. Some people with cancer have found that they can help turn their negative thoughts in a positive direction by repeating a mantra or phrase. For example, you may want to learn how to use a mantra meditation for stress relief. Similarly, affirmations—statements you repeat to reprogram your subconscious mind to visualize a situation in a more positive light—may be helpful.

Nurture Yourself by Enjoying Your Passions, Old and New

What makes you happy? What are your passions? Amidst the flurry of diagnosis, second opinions, and treatments, it's easy to forget that, as children now often say; "You have a life." Take a moment to close your eyes and step back from the world of cancer, and dream of things you would enjoy doing. Your thoughts may surprise you. If you're having difficulty picturing yourself feeling passionate about something again, think back over the last several years of your life. What were the highlights? Not what were supposed to be the highlights, but what truly brought you the most joy.

Now think of things you have never done but at some point in your life have thought you would enjoy. What's wrong with pursuing a new passion now? After all, you've just been learning a new language (medicalese) and are playing a starring role in your own soap opera of Specialist Hospital. A fun exercise may be asking a close friend what kind of passion or hobby they believe would bring you pleasure. Again you may be surprised at a quick and lost remark you made a decade ago but have long since forgotten; along with the dream.

Just Do It for You

Building on the last tip, is there something outrageous (but safe and legal) that you've always wanted to do? There's no time better than the present. Why, you can even play the "cancer card" to lessen any resistance offered up by your family and friends! After all, who can deny a cancer patient? (You may have to brush your way through your own resistance as well.) You could start small. Maybe by ordering the lobster on the menu, even though the price isn't listed. Imagine the hobbies or passions you may never have otherwise pursued if you'd never allowed yourself to indulge yourself. Whatever you do, splurge on you. Whatever you do: Just. Do. It.

Nurture Your Sensual Self

Nurturing your sexuality during cancer treatment doesn't necessarily mean sex. This doesn't necessarily have anything to do with sex at all or even relationships. For women, what makes you feel sensual? Do you love the way a beautiful silk nightgown feels against your skin? Have you ever gone all out and purchased lingerie that makes your skin want to sing? What else makes you feel sensual; womanly as a woman, or manly as a man? Is there a particular scent? Perhaps candles? Erotic or Celtic music, or maybe just those favorites from your adolescent and early adult years that never cease to make you feel youthful and alive?

Cancer and its treatments can make sexuality challenging at times, but if you want to enjoy your sexuality/sensuality in this way, it's met its match. As a last thought, if you are facing cancer as a single person—or even if you are married—how about sending yourself a love letter? There are special and wonderful things about you, your heart and your thoughts, that only you know. It can't hurt to let yourself know, in writing, can it?

Have a Slumber Party (They Aren't Just for Girls) and Laugh Lots

Growing up, when and where did you speak of your deepest secrets, greatest dreams, and hidden fears? For girls, it may have been slumber parties, or in your dorm room at college. For guys, the setting is different—perhaps in the bowling alley or on the golf course. But the intimacy, at least adapted by gender, is similar. Who can you gather together for a laugh-fest or even a real slumber party? A time where you can laugh until your soda comes out through your nose?

We're not sure how anyone can make it through cancer treatment without a sense of humor. Keep in mind that it may need to be you that begins the laugh fest. Loved ones are often afraid to share their off-color thoughts and tidbits of cancer humor unless you set the stage. But once you do... Cancer is a serious, scary disease. But sometimes a little humor—and especially a full-blown laugh-fest—is the best medicine the oncologist could order. We don't need lab coats to know there is something to laughter medicine.

Find the Silver Linings

Even in the worst of circumstances, there are usually a few silver linings. Can you think of any friendships you have that have grown as a result of your cancer diagnosis, or people you would never have met? Certainly, we aren't "given" cancer in order to find these silver linings, and when all is said, I'm sure you would rather not have had the "opportunity" to look for silver linings. But given the clouds, why not look for the silver linings? It will likely bring you a few smiles.

In looking for silver linings, consider the ways that you have grown since your diagnosis. Research is now telling us that many cancer survivors experience "posttraumatic growth." For example, cancer survivors often develop a greater sense of compassion for others, a greater appreciation for life, and more. Can you think of ways that you have become a better person because of your diagnosis?

Give Back

Only someone who has "been there" can truly connect with another facing cancer, and leave them with the blanket of a feeling that says; "You're not alone." If you are more than a few weeks into treatment, you may have already heard mention of a 3-day walk or other fundraisers for cancer. It may be hard enough to even walk to the mailbox some days, and if you've heard the word "advocate" you may have already begun to search for a cave in which to hide.

But being too tired to walk, run, cycle, rock climb, dance, scrapbook, or even knit for cancer may be a special blessing in itself. After all, these activities, though honorable and commendable, aren't likely to touch the heart of the quiet, bald woman who is self-consciously and tearfully walking down the grocery store aisle nearby. A simple touch. A knowing smile. A gentle hug. And then leaving her to continue on her way with her chin just a tad bit higher. Just like a diamond, things such as these that seem small may shine in the heart of another facing this disease for a long time to come.

2 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Rosenberg AR, Bradford MC, McCauley E, et al. Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial. Cancer. 2018. 124(19):3909-3917. doi:10.1002/cncr.31666

  2. Robbins ML, Wright RC, Maria Lopez A, et al. Interpersonal positive reframing in the daily lives of couples coping with breast cancer. Journal of Psychosocial Oncology. 2019. 37(2):160-177. doi:10.1080/07347332.2018

Additional Reading

By Lynne Eldridge, MD
 Lynne Eldrige, MD, is a lung cancer physician, patient advocate, and award-winning author of "Avoiding Cancer One Day at a Time."