ADT, or androgen deprivation therapy, has a favorable safety profile and is an effective treatment for prostate cancer that has been used for decades, however, like many medications, it can be associated with some side effects. It’s helpful to be aware that mood changes and feeling down can be part of these potential side effects.

You may have recently been told that you have prostate cancer or that your prostate cancer has come back. Chances are you are going through some emotional and psychological strain. It’s important to understand that mood changes aren’t side effects that will occur, but rather side effects that may occur. In this video, I will go through the symptoms you may feel and then provide you with strategies to
counter them. To begin, when on ADT you may feel down and as if you have less energy, less interests, and less drive to do your normal activities. This, however, is usually caused by a number of factors. Receiving a diagnosis of new, or recurring prostate cancer can be overwhelming. You will be attending doctor’s visits to talk
about treatments as well as their side effects. You will also be given a list of medical appointments and tests.

On top of this, you may be receiving ADT treatments that bring down your testosterone levels. It’s normal to feel overwhelmed by all of this new information. The good news is, there are many tools to help you address these feelings. First and foremost, don’t try and navigate this journey alone. It’s vitally important to talk about these feelings with your partner or loved ones. Involve them and let them know what you are going through.
If they know what to expect, they can help support you. This can really help avoid any potential strain on your relationship. Facing your treatment as a team will empower both you and your partner. Secondly, it’s also important to talk to your doctor about any emotional changes you’re experiencing. There is a wide spectrum of depressive symptoms and by letting your healthcare professionals know what you’re feeling, they’ll be able to guide you towards the appropriate medical resources. Many
centers provide access to psychologists, sexologists, nurses and other health care professionals if you feel you need extra support.
Lastly, exercise, sleep and a balanced diet are of great importance as they have a vital impact on physical health and one’s sense of emotional well-being. Physical activity can boost your energy and mood by releasing endorphins into the blood. Endorphins are your brains feel good neurotransmitters that trigger positive feelings in the body. Exercise will not only boost your mood, but it will have a positive impact on any other side effects you may be experiencing. Talk to your doctor about what level of fitness is safe for you. Finding a personal trainer to help guide you can be a great way to start a daily exercise routine that’s realistic, fun and most importantly achievable.
In summary, it’s important to remember that you should not feel like you are going through this journey alone. Involve and educate your partner or loved ones by inviting them to an appointment or two. Working as a team and understanding how ADT can affect mood and wellbeing will empower you to overcome these challenges. Also, keep in mind that you have a medical team there to support you and provide any necessary resources if needed.