Cancer treatments, such as chemotherapy , radiotherapy and hormonal treatments can have direct physical effects on the patient. Physical side-effects that can make social and emotional problems worse can include fatigue ,nausea and vomiting. Social and emotional issues can be difficult for patients to understand and talk about. They can also lead to other problems, like depression and anxiety. Encourage your patient to tell the doctor or nurse if they are having problems with their body image or sex life. There may be treatments that can help.