Survivorship: During and After Treatment

Post-traumatic Growth

Going through cancer is a life-changing experience. But these changes are not always negative. Many people share that having cancer led to positive changes to their goals, beliefs, and how they live.

What is post-traumatic growth (PTG)?

Post-traumatic growth (PTG) is the name for the positive changes that can happen to a person as a result of living through a trauma (like cancer).  A trauma or traumatic event is an event that causes someone to have mental and/or physical stressors. These traumas may cause feelings, such as:

  • Anxiety
  • Sadness
  • Anger
  • Difficult sleeping
  • Trouble concentrating
  • Constant thoughts about the event

PTG is internal, mental, emotional, and psychological growth that may occur after the trauma.

Is post-traumatic growth the same as resilience?

Post-traumatic growth is different from resilience.

  • Resilience is your ability to keep or get back to how you lived and functioned before the trauma.
  • Post-traumatic growth is a positive change in the way you think, live, or function.

When (and how) does post-traumatic growth happen?

Going through a traumatic event doesn’t always lead to post-traumatic growth. And the growth usually doesn’t happen overnight. But over time, people who experience PTG can often make meaningful life changes that better fit their personal beliefs, values, and goals.

Many people report struggling with their sense of self during or after cancer treatment. It’s normal and common to feel this way.

It’s also common to wait, and not start processing everything until after your cancer treatment is over. You might be in “survival mode” for most of your treatment. This is your brain’s way of trying to protect you, so you have the mental and emotional ability to get through a scary experience.

Our brains often do this routinely, without us even realizing.

But it’s important to know that at some point, you will need to process and cope with what you’ve been through. This is a key part of moving forward as a cancer survivor. Talking to a counselor or joining a support group can help you work through this. Talk to your health care team if you need a referral.

If you are thinking about suicide or hurting yourself, please get help right away. You are not alone.

988 Suicide & Crisis Lifeline

988 Suicide & Crisis Lifeline provides 24/7, free and confidential support via phone or chat for people in distress, resources for you or your loved ones, and best practices for professionals. Includes information on finding your local crisis center.

Phone: 988

  • Interpretation for more than 240 languages
  • ASL Videophone for people who are deaf or hard of hearing

Text: 988 (English and Spanish only)

Website:

To get immediate help, you can also go to the emergency department or call 911.

Five areas of post-traumatic growth

Post-traumatic growth usually changes one or more of these areas. Here are some examples that people who have, or had, cancer describe feeling:

A deeper connection to others

Going through cancer can have a major impact on your relationships. Some people grow closer, while others grow apart. Many people report wanting deeper or more meaningful connections with others.

A change in priorities

A cancer diagnosis may shift your priorities and change what you view as most important. Some people make major life choices, such as changing jobs or taking a chance on something they were afraid to try before.

A greater appreciation and awe of life in general

Some people say they value life more and feel more aware of the beauty and joy around them. This awareness may help you appreciate the world in new ways.

An increased sense of inner personal strength

Some people report feeling stronger because of their experience with cancer. This can also help you feel more confident and treat yourself with greater compassion.

A spiritual or religious growth

It’s common for people to seek spiritual growth during or after cancer treatment. For some people, their religious beliefs are connected to their spirituality. Religious beliefs and spirituality are related, but not the same.

Spirituality often refers to a person’s internal search for meaning, purpose, or connection to something greater than themselves. Religion often refers to organized beliefs related to a specific faith or culture.

Both religion and spirituality might include ideas such as the spirit, soul, or greater meaning and connection to something larger. Someone might consider themselves spiritual, religious, or both.

Does everyone have post-traumatic growth after cancer?

Post-traumatic growth (PTG), like post-traumatic stress, is not something everyone experiences. PTG doesn’t mean “getting over” or “moving past” cancer. Growth and grief can and often do happen at the same time.

PTG is different for each person. It’s okay if you don’t go through the “common” growth changes listed here, or if your growth looks different from that of other survivors.

Who is likely to have post-traumatic growth?

Some studies show that certain personal traits and types of traumatic events can lead a person to have PTG. Cancer is just one of them. Some traits of people who are more likely to report PTG are:

  • Being female
  • Having more social support
  • Being an adult 
  • Being optimistic
  • Being open to new experiences

Why is it important to cope with your trauma?

Coping with your trauma after cancer is about more than just personal growth. Not learning to cope with trauma can affect your nervous system, too. The nervous system is often called our unconscious “flight or fight” and “rest and digest” responses.

Fight or flight refers to your sympathetic nervous system, which is controlled by your brain. When you feel stressed, your fight or flight response is triggered automatically. You might notice your heart rate gets fast or your stomach hurts.

The rest and digest response refers to times when you feel calm or relaxed. Rest and digest helps you conserve mental and physical energy.

Most people go back and forth between “fight or flight” and “rest and digest” throughout the day. Both of these responses are important.

But if your nervous system gets of out of balance (dysregulated), certain parts of your brain can get smaller, larger, and more (or less) reactive to stress. When this happens, you don't get the rest you need. Or, you might stay in rest and digest when you are faced with a real threat.  A dysregulated nervous system affects your ability to cope or heal after trauma. Sometimes, not coping with your trauma can lead to post-traumatic stress disorder (PTSD). 

Learning to regulate your nervous system after trauma

Practicing these activities can help you balance your nervous system after experiencing cancer or another trauma.

Mind-body practices

Mind-body practices such as meditation and yoga have been shown to support a healthy nervous system.

Grounding techniques

Grounding techniques can help if you feel stuck in fight or flight. These are often simple activities that connect you to one or more of your senses (things you can touch, see, hear, smell, or taste). Some examples are:

  • Listening to music
  • Focusing on a place that comforts you. Focus on what you see, hear, and smell
  • Deep breathing
  • Spending time with your pet
  • Counting

Talking to a therapist

can help, especially one who has experience with cancer survivors or other survivors of trauma. They are specially trained and can help guide you if you aren’t sure how or where to start healing.

Certain types of therapy such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been shown to help people process trauma.

Learn more about coping with mental distress and resources for support.

Other ways to achieve post-traumatic growth

In addition to the ways above, you can also:

Find more support

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Developed by the P站视频 medical and editorial content team with medical review and contribution by the American Society of Clinical Oncology (ASCO).

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National Institute of Mental Health (NIMH).  Coping with traumatic events. Updated May 2024. Accessed at https://www.nimh.nih.gov/health/topics/coping-with-traumatic-events on October 15, 2025.

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Last Revised: October 16, 2025

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