Understanding the Role of Psychological Assessment in Risk Reducing Mastectomy

In recent years, the conversation around breast cancer prevention has taken center stage. For women at high risk of developing breast cancer, one significant choice is to undergo a risk-reducing mastectomy (RRM). While the physical implications of this surgery often dominate discussions, the psychological factors are just as crucial. This blog post explores how psychological assessments play a key role in RRM decision-making, emphasizing their importance for the patient's overall well-being and state of mind.

Professional support is often needed in making complex medical decisions

Psychological assessments are essential tools that help understand a patient's mental and emotional readiness for this major surgical procedure. They can uncover underlying psychological conditions, coping strategies, and support networks that may influence a patient's choices. Charities like MacMillan can be helpful in providing information about the procedures and impact, but a 1:1 session with a psychologist can help provide a bespoke reflection on the process.

The decision to have an RRM is not just a medical choice; it often comes with emotional challenges. Many women face feelings of fear, anxiety, and uncertainty about what the future holds. Psychological assessments help healthcare providers gauge these emotions, allowing them to tailor their support to each woman's unique situation.

One primary goal of these assessments is to evaluate a patient's understanding of their risk factors, impact of surgery and expectations following. The final decision always come down to the surgeon on the day, but often a psychological assessment is needed to check that the women has thoroughly thought through their decision before deciding to go ahead.

Moreover, psychological assessments can reveal pre-existing mental health issues or prior trauma that may hinder decision-making. Identifying these factors early allows health professionals to create a comprehensive support plan that considers both psychological and physical needs.

Another critical component is evaluating the patient's support system. The RRM choice can feel isolating, making it essential to have a strong network of family and friends. A supportive environment can increase emotional resilience. Assessing the quality and availability of support helps pinpoint areas where additional resources may be necessary, ensuring women do not feel alone in their journey.

Furthermore, psychological assessments can open up a conversation about the impact of RRM on body image and self-esteem. The fear of losing their breasts can weigh heavily on many women, affecting their self-worth. By addressing these concerns with compassion, healthcare providers can offer counseling and specific resources..

Dr Daniel Stubbings has conducted many RRM's as part of his role in the National Health Service in South Wales. However, some women live in remote areas, face long waitlists or have no psychologist in their NHS area. If you are in need of a RRM psychological assessment and cannot access them through your NHS it is worth reaching out to discuss your needs. Dr Stubbings can collaborate with your treatment team and consultant surgeon. The assessment process typically involves one assessment session, capacity assessment, time for interprofessional collaboration and report writing time. To discuss your needs in more detail please don't hesitate to contact the service Contact | Lifting The Vale.