The holiday season can be a busy and stressful time. Add in a cancer diagnosis and the rigors of treatment, and the anxiety levels can spike. &ldquo;Many of our patients are fatigued and could be experiencing joint pain and they may be too tired to do all the things they did in past years &ndash;&nbsp;that can create stress and anxiety and even increased levels of depression,&rdquo; says Sharla Wells-Di Gregorio, PhD, a clinical psychologist and member of the psychosocial oncology team of The Ohio State University Comprehensive Cancer Center &ndash; James Cancer Hospital and Solove Research Institute (OSUCCC &ndash; James). Wells-Di Gregorio &ndash;&nbsp;also an assistant professor of psychiatry, psychology and internal medicine, as well as a clinical psychologist &ndash;&nbsp;has a great deal of experience working with oncology patients, helping them work through their anxiety, fears, depression, insomnia and pain. &ldquo;These issues can be even more prevalent during the holiday season, and we do see an uptick in requests for counseling sessions in November and December,&rdquo; she says. Here are some of Wells-Di Gregorio&rsquo;s tips for dealing with holiday stress using practical techniques developed during her work with patients at the OSUCCC &ndash; James: &ldquo;No&rdquo; is OK &ldquo;Being able to say no is a useful skill, [but] that can be a challenge for many people. Sometimes, family members don&rsquo;t understand what&rsquo;s going on. The patient may look and seem fine, so it can be hard to understand that they&rsquo;re fatigued and may be in pain and could be struggling. It&rsquo;s important for the patient to speak up.&rdquo; Don&rsquo;t hesitate to delegate &ldquo;It&rsquo;s important to have a point person communicating with family and friends what&rsquo;s going on so they&rsquo;re not getting too many calls and requests and invitations (social media channels and CaringBridge can help with this communication).&rdquo; Score with four &ldquo;The &lsquo;Four Gift Rule&rsquo; (a gift that someone wants, something they need, something to wear and something to read) is a great way to help parents navigate gift-giving for their children. It&rsquo;s also a useful way to manage the financial stresses of the holidays that come in addition to medical costs.&rdquo; Invited to a large party? Shrink it down! &ldquo;Arrive before everyone else and spend some quality and quiet time with a smaller group of people. Make sure to let them know in advance that they may need to leave early [if the experience becomes overwhelming].&rdquo; Psychosocial oncology services at The James &ldquo;We utilize several therapies to help patients work through the depression, anxiety, insomnia and pain they&rsquo;re often dealing with, [helping them] learn how to take care of themselves in a new and different way and to disconnect from some of the thoughts and behaviors that are no longer helpful to them.&rdquo; &ldquo;The first step is to talk to your oncologist or someone on your oncology team and ask them about our psychosocial oncology program.&rdquo; Learn more about psychosocial services at The James.