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What causes anxiety and mood swings after chemotherapy?

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Posted on Wed, 25 Nov 2015
Question: I have had melanoma twice the first time it was stage two and then metastasized to stage 3c. I had two surgeries, 1 year of immune chemotherapy and radiation. I have had no evidence of disease for 6 years. I am active, have two children, married and have a career that I am passionate about.

In the past 8 months, I have noticed that I get anxiety/ panic attacks and feel moody. This is truly odd as I am an optimistic person. I also can't ignore that I am having trouble iwth my memory and sometimes stumble over my words when speaking. People always tell me how articulate I am, but it feels like it is getting worse. My vision has declined - they said that could be a result of the type of chemo I had. I am under a tremendous amount of stress at work - could this cause the anxiety and other issues?
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Answered by Dr. Deepak Sundriyal (45 minutes later)
Brief Answer:
hello. It is not related to chemotherapy or immunotherapy.

Detailed Answer:
hello dear. These symptoms are not related to chemo or immunotherapy in my opinion. Therapies used for the treatment of melanoma usually have short term side effects and after such a prolong period of 6 years i dont think it is related to past chemotherapy.
In my opinion you require a counselling and behavioural therapy session with a clinical psychologist which can guide you how to cope at work station.
Hope that will work for you.
Thanks and regards
Above answer was peer-reviewed by : Dr. Sonia Raina
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Follow up: Dr. Deepak Sundriyal (12 minutes later)
Understanding melanoma can spread to the brain - the memory problems, stumble on my words and difficulty concentrating (did not occur even during chemo) and fatigue are not possible symptoms of it spreading to my brain?
doctor
Answered by Dr. Deepak Sundriyal (5 minutes later)
Brief Answer:
Hello dear. That possibility is remote

Detailed Answer:
Yes , melanoma can spread to brain, but since you have these symptoms for last 8 months and because melanoma is an aggressive disease, it would have made you more severly symptomatic including severe headaches and seizures. Also, without treatment, it is difficult for a melanoma with brain mets patient to survive for more than 3 months. So i still think, it is not related to disease.
Thanks and regards
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1546 Questions

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What causes anxiety and mood swings after chemotherapy?

Brief Answer: hello. It is not related to chemotherapy or immunotherapy. Detailed Answer: hello dear. These symptoms are not related to chemo or immunotherapy in my opinion. Therapies used for the treatment of melanoma usually have short term side effects and after such a prolong period of 6 years i dont think it is related to past chemotherapy. In my opinion you require a counselling and behavioural therapy session with a clinical psychologist which can guide you how to cope at work station. Hope that will work for you. Thanks and regards