Cancer, Family, and the Holidays

The holidays are a time filled with joy, love, and cherished traditions. However, when cancer becomes part of the equation, the festivities can take on a different tone. Patients and caregivers often feel the holiday blues as they face disconnection and uncertainty, while family and friends may find it challenging to strike the right balance between celebration and empathy.

In this blog, we share tips to enhance the holiday experience for everyone involved.

Tip 1: Be Present, Not Perfect

In the pursuit of holiday perfection, families impacted by cancer may feel undue pressure and stress. The key to a more meaningful and less stressful holiday lies in being present, not perfect.

Your loved one may not feel ready to join large gatherings or family traditions. They may want to spend time by themselves or only with a few people. Allow them to “drive the bus” this season by recognizing and respecting their needs, wishes, and desires.

Tip 2: Understand What Your Loved Ones with Cancer are Going Through

Depending on where each person is with their cancer experience, the needs and holiday adjustments will look different. Understand the challenges your loved ones face.

  • Do they have sensitivity to certain foods or smells?
  • Do they have a compromised immune system?
  • Do they have any residual effects, including anxiety, physical changes, depression, mobility limitations, or reduced energy? 

Whether you are planning the celebration or are a supportive family member or friend, it’s essential to understand what they are going through, what is creating stress, and what concerns or limitations exist to help reduce stress and give them the normalcy they desire. 

Remember that they don’t want the holidays to revolve solely around their illness. Treat them as individuals, not patients, and cherish the little moments together.

Tip 3: Clearly Communicate and Manage Expectations

Good communication is the foundation of a positive holiday experience. Be clear and open about specific needs, concerns, and priorities, then work together to provide support. By focusing on what truly matters to them, you can build stronger relationships and create traditions and memories that embrace the spirit of the season.

Remember, good communication goes both ways. If you don’t know what they want, ask them. 

If you aren’t sure how to stay connected and communicate with your loved ones, try the b-there app! Our app was designed specifically for busy young adults who are balancing life and being supportive friends. Survivors can easily share their status, desire to connect, manage activities, and request needed items. Supporters can check the app for updates on how their loved one feels before connecting or stopping by, and they can sign up to fulfill items from their wish list.

The app is free and available to download now on iOS and Android

Tip 4: Tweak Holiday Traditions

Traditions are important but can be overwhelming during challenging times. This year, evaluate the significance of each activity and prioritize those that truly matter: Celebrating relationships and enjoying spending time with loved ones. Embrace change and focus on creating new, meaningful experiences. Don’t be afraid to be realistic about your abilities, pace your activities, and give yourself (or your loved ones) the freedom to decline invitations or alter plans as needed.

Example: If your tradition involves gathering the family for Christmas dinner, you can achieve that without spending hours in the kitchen. Ask each guest to bring a dish and have a pot-luck, have the meal catered, meet at a restaurant, or go to someone else’s house.

Tip 5: Involving Your Support Network in New Holiday Plans

Once holiday plans are established, engage family and friends in the process. Keep them informed about the new arrangements and provide guidance on ways they can contribute positively. Remind them of any sensitivities related to cancer, and emphasize the value of presence and shared memories over material gifts.

However, if expressing love through gift-giving is important in your circle, explore unique and thoughtful gift options on platforms like Love Her Hug Her or Carebetter. These sites offer ideas that are especially considerate for those affected by cancer. Additionally, your loved one can create a wishlist on the b-there app. This allows them to request items that align with their specific needs, and supporters can fulfill their requests.

For those who find it easier to organize gift-giving, setting up a registry can be a practical solution. is an excellent platform for this purpose. The Registry was created by Elissa Kalver, a stage 4 metastatic breast Cancer Thriver. Going through her first rounds of chemo, she thought, “So many people in our lives want to help us through this journey. What if there was something like a wedding or baby registry that could offer all of the things a cancer patient actually needs?”


What to do when it doesn’t feel like there is much to celebrate during the holidays

In this episode of our Support Squad Webinar Series, Cancer and the Holidays: What to do when it doesn’t feel like there is much to celebrate, Chiara Riga, Kara Noskoff, and Abby Westerman discuss the impact cancer has on the holidays (and vice versa), the challenges and concerns from the survivor and supporter perspectives, and provide some helpful strategies and tips for adjusting plans and expectations to create a holiday celebration that is mindful of the current situation.

While each cancer experience is unique, embracing these tips can contribute to a holiday season filled with inclusivity, meaning, and lasting memories. Remember, the key is not perfection but being present, understanding, and good communication. Let’s meet our loved ones where they are and not where we want them to be.

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Valentine’s Day and Cancer

Celebrating any holiday with cancer can be an emotional experience for so many reasons, from unexpected hiccups in treatment to grief over your old life to survivorship challenges. But that doesn’t mean you shouldn’t try and celebrate in a way that your friend or partner with cancer would enjoy! Here are some ideas for celebrating Valentine’s Day (or Galentine’s Day) with the person you’re supporting through cancer.

If you’re long-distance on Valentine’s Day… 

Schedule a time for a virtual Valentine’s Day celebration! Ask them if they’ve been up for eating recently, and if they are, send a favorite food that they’ve been able to eat to their house and have a FaceTime dinner date. If they aren’t up for eating or are their energy is low, maybe a virtual movie night would work better – install the Teleparty extension and pick a fun rom-com, then use the extension to watch it together. You can call or FaceTime them while you both watch so that you can react in real-time while apart. 

If their immune system is low

Many cancer treatments can lower your immune system, so it’s important to be as cautious as they need you to be anytime you’re around them. Sometimes their immune system will be so low that they won’t be able to meet up in person, in which case, I suggest asking whether they would like to celebrate another time or do something virtual (like the suggestions for long distance friends and relationships). Luckily though, through these two years of a global pandemic, we know how to keep things relatively safe if they do want to meet in person despite their weak immune system.

One of my favorite ways to celebrate with friends in a way that is safe for my immune system is a backyard movie night. If you have the space and ability, you can bring out a TV or get a projector and screen, bring out all kinds of cozy blankets and pillows, and either lay in the yard or on outdoor furniture! This is such a fun way to make staying at home feel special, and wearing masks would be easy for this activity. Some other fun ideas are outdoor paint nights (lots of companies now sell the whole kit complete with instructional videos), outdoor games nights with masks, or even an outdoor “spa day” where you do treatments on each other.

If they’re still recovering from treatment… 

This treatment recovery time is a great occasion to prioritize self-care and relaxation! Light a nice scented candle, brew some relaxing herbal tea, and do some treatments on each other. You could do face masks, body scrubs, give each other mani-pedis, massages, or even share a bath with some luxe massage/bath products. 

If they’re in the hospital on Valentine’s Day… 

Every hospital has different things allowed on their different floors, so make sure that whatever you plan for Valentine’s Day is safe for the hospital. For instance, sending flowers is often peoples’ first thought when someone is in the hospital – however, you often aren’t allowed to send cut flowers to the hospital since it can be dangerous for those with weak immune systems. Once you know what they are and aren’t allowed to have, plan something that will make their day special despite the circumstances. Maybe it’s decorating their hospital room or visiting them if they allow visitors. Perhaps it’s sending or delivering a meal they’ve been craving if they’re allowed to have outside food or sending some realistic paper flowers (like these ones on Etsy). Maybe it’s just a FaceTime date or virtual movie night. Whatever it is, make sure that you find a way to make their day special despite the circumstances. 

If they just want to get back to normal… 

If they are in a place in their treatment where it is safe for them to do their normal pre-cancer activities, that might be a great way to boost their spirits. Ban the word cancer for the night (if they’re up for that), and find a fun way to celebrate like you would before cancer. You could try recreating a special day you had together in the past, pick something on their bucket list that is feasible and surprise them with it, or even just cook them a romantic meal.

Hopefully, this gave you some good ideas for celebrating Valentine’s Day during a time that might feel anything but celebratory. Remember that Valentines’ and Galentine’s Day are all about showing love and appreciation for the people in your life – so as long as you prioritize making them feel loved, you can’t go wrong!

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Cancer and the Holidays: 5 Tips That Will Improve Everyone’s Experience

The holidays are typically seen as a time to celebrate, be with family and friends, exchange gifts, and honor religious or other cherished traditions. When a cancer diagnosis enters the picture, patients and their caregivers can feel disconnected, isolated, and out of sync with everyone else. There can be a lot of extra stress and uncertainty about what’s ahead, wanting to be part of the celebration but knowing that things won’t be the same this year, and feeling pressure to put on a happy face when they may not be feeling it. And for supportive family and friends, they may struggle with what to do and say and how to celebrate when it might feel selfish to be joyful. 

Cancer takes so much from our loved ones. Don’t allow it to take away the relationships and special moments we have to spend together, especially during the cherished holidays.


Support Squad Webinar Recap

In our fifth episode of the Support Squad Webinar SeriesCancer and the Holidays: What to do when it doesn’t feel like there is much to celebrate, we discussed how the experience looks different depending on where they are in their cancer journey, the importance of clear communication and expectation management, and offered some tips and strategies to reduce stress and redesign the holidays so they are the best they can be given the circumstances. 

We had the chance to hear firsthand from young adult cancer survivor Chiara Riga about her experience with cancer in the midst of COVID-19, from bereaved caregiver Abby Westerman about her struggles both during her 20-year-old daughter’s cancer treatment and during the holidays since she has passed, and from AYA cancer patient advocate Kara Noskoff on the many ways to bring “home” into the hospital, particularly during the holidays. Listen to the full episode here.

Tips to Improve the Holiday Experience

Tip 1: Be Present, Not Perfect

Striving for holiday perfection introduces a lot of added pressure and stress for families impacted by cancer who may not have the energy or resources to achieve this unreachable standard. The secret to creating a more meaningful and less stressful holiday? Be present, not perfect

Ensuring loved ones with cancer feel included, seen, and heard, and asking them who they want to see, what activities are important, and where is the least stressful place to celebrate will result in a fulfilling, meaningful, and memorable holiday. The three key elements to being present and improving connection and support apply equally well when planning for the holidays when cancer enters the picture. 

  • Understand what your loved ones are going through. 
  • Clearly communicate needs and manage expectations. 
  • Work together to provide support

By understanding their experience and challenges and focusing on what is most important to our loved ones impacted by cancer, a new holiday plan can be created that offers the chance for new traditions and memories ready to be made.  

Tip 2: Understand What Your Loved Ones with Cancer are Going Through

Depending on where each person is with their cancer experience, the needs and holiday adjustments will look different. If they are undergoing treatment, there may be physical and emotional changes like:

  • Sensitivity to certain foods or smells
  • Compromised immune system – at higher risk when exposed to people who are sick

They might also be stuck in the hospital, which can be especially difficult during the holidays when all they want is home. Find ways to bring “home” holiday traditions and normalcy to them and involve them in the process.

If they are no longer undergoing treatment, they may be adjusting to their new normal. However, they may still have residual effects, including anxiety, depression, physical changes, mobility limitations, or reduced energy. They may also be focused on moving forward and want to be more involved in the holiday plans without being babied.

If the person with cancer did not survive, their family and friends might be struggling with grief and loss. The holidays can be particularly difficult and triggering when that special person is no longer present.

Whether you are planning the celebration or are a supportive family member or friend, it’s essential to understand what they are going through, what is creating stress, and what concerns or limitations exist to help reduce stress and give them the normalcy they desire. 

Cancer and the Holidays

The post “Navigating the Holidays: 5 Things Cancer Patients Wish You Knew” provides several helpful reminders from the perspective of the cancer patient/survivor:

  • “I don’t want the holidays to be all about my cancer. They want normalcy and to enjoy time with their special people.


  • “Don’t baby me. They are not broken. Treat them like a person, not a patient.


  • “Go ahead and ask. I know you want to. Ask, but don’t dwell on it. There are lots of other things they enjoy talking about!” 


  • “Just enjoy the little moments with me. Be present. Time is the most important thing. Enjoy the people in your life!”


  • You can still be happy. In fact, I would prefer it. You are not selfish for talking about you. Don’t feel guilty about the good in your life.”

We would add the following for bereaved caregivers, family, and friends: 

“Let me keep my loved one’s voice and memory in the conversation.” 

Talking about loved ones can be triggering, but not talking about them can feel isolating – like everyone has moved on and forgotten themWhen the loved one’s name comes up, don’t be afraid to talk about them, and avoid changing the subject. Be aware, read the room, and hold space when it is clear that a memory is important or emotionally triggering. Your support and understanding will mean a lot. 

Cancer and the Holidays

(In loving memory of Kirsten Westerman)

Tip 3: Clearly Communicate and Manage Expectations

Good communication is vital to an improved holiday experience. Be clear on specific needs, concerns, and priorities for the holidays. Think of it this way: If you don’t communicate what is needed, you will get what they think you need. Although some people will be in sync with your every desire, most will appreciate clear guidance on how to support or adjust and will be more than happy to do so. 

And remember, good communication goes both ways. If you don’t know what they want, ask them. A great example is the guidelines for in-person gatherings in the face of continued COVID-19 concerns. Be sure to ask cancer survivors about their concerns and make accommodations accordingly. If they are more comfortable with outdoor gatherings, find a way to make that happen. If attending guests live in households with unvaccinated occupants, ask how they feel about possible indirect exposure. 

Bottom line: Don’t make them guess – it just adds stress.


Cancer and the Holidays

When it comes to the holiday traditions and rituals, work with survivors or caregivers to identify what is most important to them during the holidays and clearly communicate that ahead of time so family and friends can adjust their plans and expectations. If you haven’t seen each other in a while, prepare them ahead of time for any changes that might catch them off guard. If you are a caregiver, let them know your emotional status and where you could use some help. 

One approach is writing a Cancer Letter to family and friends that is authentic and reflects your situation and concerns. It can be a great tool to address the elephant in the room, provide power and control over the narrative, and help introduce and navigate the alterations to the holidays, mitigating uncomfortable discussions during get-togethers. Letting people know ahead of time creates realistic expectations and lessens any awkwardness someone might feel if they react with surprise. 

When it comes to boundaries, don’t think about what you “should” be doing, but rather what you need to do to protect your mental and physical health. If you have any special needs to be addressed, make sure they are known in advance. This can include:

  • Accessibility
  • Mobility
  • Dietary needs/limits
  • Hygiene/protective equipment needs
  • In-person gathering concerns/limits
  • Rest/quiet spaces to retreat 

Anything that will make your experience more comfortable and less stressful should be shared. Decide in advance how much information you want to offer, and consider preparing answers to uncomfortable questions they may ask so you aren’t caught off guard. It is okay to set limits, say no, and ask for help. Be honest with yourself and your family. Being clear about needs or asking for help is not a sign of weakness. People want to be supportive and just need simple guidelines or instructions, so give them that chance with clear information. Finally, don’t feel guilty for declining requests or changing plans. People will understand.


Tip 4: Define Priorities and Refine the Holiday Rituals

Traditions and rituals are important, and while they can be comforting, they can also create an unrealistic vision for the “perfect” holiday. With a new perspective on life, some things may no longer feel important or have the same value they once did. Some can even be triggering and bring up emotions that are still fresh. Not all activities will be as easy as they once were. Assess and prioritize the activities and people that are important and focus on those. Allow adequate time and make adjustments so they are still doable. Be okay with change. Remember, it can lead to new experiences, new memories, and new opportunities for growth.  


Cancer and the Holidays

To reduce stress, something has to give this holiday, but what? How do you decide what is important and what can be skipped (or delegated to a supportive family member or friend) this year? Distill your rituals down to their essence – why is that particular activity important? Usually, the activity is not what’s important, but rather the value is in spending time together and creating memories. If that activity is too tiring, brainstorm alternatives that give you time together without the same feelings of exhaustion.

Check out redesigning the holiday, to learn the five steps that will help clarify where the focus should be this year.

  • Try to focus on enjoying the new traditions and special moments, rather than how cancer has changed a holiday or special occasion. 


  • Be realistic about what you can do. Schedule activities when you have the most energy. Allocate additional time to prepare – for example, cook ahead and freeze meals. If it is easier to do certain things online – do it! You can online shop, order food and have it delivered, etc. 


  • Find the right balance between celebrating with family and friends and spending time on your own. 


  • Give yourself permission to pace your activities and to decline an invitation or two so that you have the energy to enjoy the gatherings that are most important to you.


Tip 5: Involve the Support Squad in the New Plan

Once family and friends are aware of the new holiday plans, they may have additional questions about how they can help, what they can bring, gift ideas, etc. Remind them of what is on the buy/don’t buy list due to cancer-related sensitivities. 

Remember that presence, making new memories with special people, and overall normalcy are often valued over gifts. When selecting gifts, practical things that will make a difference in their quality of life are a safe bet but be sure to ask what is important to them. 

If they are in the hospital or can’t attend the gathering at the last minute due to health concerns, prepare a separate meal for them and have it delivered. They will appreciate feeling included and loved even though they could not be there in person. 

In Summary 

Every situation is different, but implementing the simple tips above will create an inclusive, meaningful, and memorable holiday. Understand what they are going through and what will help reduce stress. Keep it simple – only do what is doable and important. Focus on being in the moment with each other and enjoy the holiday celebrations in whatever form they take, whether in-person or virtual, big or small.

Follow your loved one’s lead during conversations, and hold space when things get uncomfortable or emotional. If your loved one can’t make it to the holiday celebration, find ways to bring the essence of the holiday to them so they feel included and remembered. Be open to change and new activities – it is the opportunity for creating new memories. 

The Bottom Line: Seek presence, not holiday perfection, with family and friends. You will be giving each other the best present of all! 

A Message From the CEO: Wishing You Presence, Joy and Hope This Holiday Season

It is hard to believe the holiday season is upon us! I hope you are all able to enjoy and celebrate the important people in your life and are taking every opportunity to experience the value of presence over presents during our #GiftPresence campaign. Let’s also b-aware that many young adults have to redefine what the holidays mean for them this year. Some are in the midst of a cancer battle as patient or caregiver, some are survivors readjusting to life beyond treatment, and some are bereaved friends or family members still trying to figure out what “celebrating the holidays” even means without their loved one there. I encourage you to find ways to #GiftPresence that give them comfort, hope and joy during their new version of “the holidays.”

In addition to our #GiftPresence hashtag, please also consider using #MyHolidays and share your redefined holiday story to let those having to reinvent their holidays know that they are not alone. Special thanks to Vivian Nunez, young adult founder of Too Damn Young, for creating this empowering campaign and holiday reminder.

As we approach the end of 2019, I want to say THANK YOU to our family and friends who have stood by us, donated their precious resources, volunteered their time, and inspired us to keep going. I am so proud of what we have accomplished this year, and know it is 100% because of all of you that we are moving forward and up. We are better with you and stronger together.

Wishing you a season of PRESENCE, JOY and HOPE and looking forward to an amazing 2020!

With Love and Endless Appreciation,