{"id":12291,"date":"2025-08-28T02:02:00","date_gmt":"2025-08-28T07:02:00","guid":{"rendered":"https:\/\/mickeylieberman.com\/medical\/?p=12291"},"modified":"2025-04-20T10:23:29","modified_gmt":"2025-04-20T15:23:29","slug":"how-do-you-live-with-a-terminal-illness","status":"publish","type":"post","link":"https:\/\/mickeylieberman.com\/medical\/how-do-you-live-with-a-terminal-illness\/","title":{"rendered":"How Do You Live with a Terminal Illness?"},"content":{"rendered":"<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Live with a Terminal Illness<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Grief is common in people facing the end of their lives as a result of a terminal illness.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">It\u2019s a feeling that can cause terminally ill persons to experience even more pain than they do from their illness. However, it\u2019s considered a normal reaction to their situation.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">But in many terminally ill people, grief evolves into depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Experts say the risks of depression increase as the disease advances and causes more painful or uncomfortable symptoms.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">The more a person\u2019s body changes, the less control they feel over their lives.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Additionally, <strong>some people who are terminally ill have more risk factors for depression<\/strong>.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">These include:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">history of depression<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">past attempts at suicide<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">social stress<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Problems with substance abuse<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">addiction<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">family history of depression<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Some medications may also contribute to depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Depression is a serious mental condition, but it can be treated. Treating depression in people with a terminal illness can significantly increase their quality of life.<\/span><\/p>\n<p><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">What Symptoms Are Considered \u201cNormal\u201d for Someone with a Terminal Illness?<\/span><\/strong><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">There is no \u201cright\u201d way for people to feel at the end of their lives.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Any combination of the<strong> following symptoms is considered \u201cnormal\u201d in terminally ill people<\/strong>:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">disbelief<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">panic<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">anxiety<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">anger<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">bitterness<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">denial<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">vulnerability<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">sadness<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">frustration<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">loneliness<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">peace<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">acceptance<\/span><\/p>\n<p><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">What Is Considered Depression?<\/span><\/strong><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Depression is classified as having the following experiences that last for at least two weeks, and are severe enough to interfere with everyday life:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">sadness<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">frustration<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">anxiety<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">depressed mood<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Reduced interest in activities<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">change in sleep routine<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">change in weight<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">loss of energy<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">trouble making decisions<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">change in eating habits<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Recurring thoughts of death or suicide, or a suicide attempt<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">In the terminally ill, it can sometimes be hard to tell whether some of these symptoms are caused by the person\u2019s primary illness or by depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">A subtle sign of depression in the terminally ill is pain that doesn\u2019t respond to treatment as expected.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">People who think or attempt suicide are thought to be suffering from depression. They may also repeatedly request that doctors help hasten their deaths.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">This kind of request, however, may be a person\u2019s attempt to exercise autonomy over how they live and not depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">How Is Depression Diagnosed in Someone with a Terminal Illness?<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Because depression is not always clearly identified, it tends to be underdiagnosed in people with terminal illnesses. This means many terminally ill people with depression are left untreated.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">It\u2019s important for doctors to carefully examine terminally ill people for depression if they show symptoms. <\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">A doctor will make a diagnosis of depression by doing the following:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Taking a medical history<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">doing a physical exam<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">sometimes performing lab tests, such as blood and imaging tests<\/span><\/p>\n<p><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">What Types of Treatments Are Available for Someone Who Is Depressed and Terminally Ill?<\/span><\/strong><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Early diagnosis and treatment of depression in people with terminal illnesses is the goal. <\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Treatments for depression in the terminally ill are generally the same as for the general population:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">psychotherapy<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">lifestyle modifications<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">medication<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">a combination of treatments<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Psychotherapy<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Psychotherapy involves attending sessions with a therapist who offers support and advice.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">A therapist can help a person with a terminal illness better understand their condition and how to come to terms with the end of their life. This understanding can help reduce their depressive symptoms.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Lifestyle Modifications<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Adding certain habits to the lifestyle of a person with a terminal illness can be beneficial.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Medication<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Both pain relievers and antidepressants appear to help alleviate depression in the terminally ill. <\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Several types of pain medications and antidepressants can help. <strong>Some common antidepressants include<\/strong>:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">selective serotonin reuptake inhibitors (SSRIs)<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">serotonin-norepinephrine reuptake inhibitors (SNRIs)<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">norepinephrine-dopamine reuptake inhibitors (NDRIs)<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">tricyclic antidepressants<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">monoamine oxidase inhibitors (MAOIs)<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">mood stabilizers<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">antipsychotics<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Some antidepressants and pain medications can interact with other drugs or can worsen certain medical conditions.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Doctors should thoroughly review a terminally ill person\u2019s medical history before prescribing any medications for depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Coping with Depression and Terminal Illness<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Those with a terminal illness may find it helpful to talk to friends and loved ones about their condition. It can benefit the terminally ill for relatives, friends, and caregivers to offer an empathetic ear.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">However, it can be painful and challenging for the listeners. Those close to the terminally ill person may find it hard to talk about that person\u2019s illness.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">In that case, it can be helpful to seek out support groups for the terminally ill person.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Hearing the stories of those in a similar situation can often help the terminally ill person better cope with their illness.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Doctors can recommend support groups, or you can research groups online. If you find a group online, monitor the group discussion to ensure it is appropriate.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Others with terminal illnesses find it helpful to express their feelings creatively. Being creative can ward off feelings of depression. <\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\"><strong>Some forms of creative expression include<\/strong>:<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">keeping a journal<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">painting<\/span><br \/>\n<span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">playing an instrument<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">It may not be possible to fully stop a terminally ill person from feeling grief, but it is possible to prevent and treat their depression.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Alleviating depression in terminally ill people can greatly increase their quality of life.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Live with a Terminal Illness Grief is common in people facing the end of their lives as a result of a terminal illness. It\u2019s a&#8230;<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-12291","post","type-post","status-publish","format-standard","hentry","category-medical-topics","wpcat-2-id"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.9 - aioseo.com -->\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"mymedicaltopics\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/mickeylieberman.com\/medical\/how-do-you-live-with-a-terminal-illness\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 4.9.9\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/mickeylieberman.com\\\/medical\\\/how-do-you-live-with-a-terminal-illness\\\/#article\",\"name\":\"How Do You Live with a Terminal Illness? 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