Psycho-oncological counselling for mental health in South Australians with cancer

This study aimed to understand clients’ perceptions of psycho-oncological counselling service effectiveness according to psychosocial outcomes and meeting client support needs and expectations. Clients were recruited opt-in during regular service provision (n = 28). Psychological distress, anxiety, and depression symptoms were assessed prior to and on completion of psycho-oncological counselling sessions. Clients provided a qualitative report on their expectations, experiences, and perceived outcomes of the counselling. Pre–post univariate tests and thematic analysis were used. Clients completed sessions, reporting reduced anxiety, depression, distress, and global mental health symptomology. Client experiences identified four themes on expectations: having none, needing help dealing with feelings and emotions, seeking specific coping strategies, and seeking a better understanding of their experience. Expectations were satisfied for most respondents, regardless of their prior expectations or reason for counselling. Benefits of accessing counselling included reduced symptomology, receipt of beneficial knowledge and skills, and an increased ability to manage their everyday lives.