Ella Stiller, the daughter of prostate cancer survivor and “Zoolander” star Ben Stiller, has addressed her longtime struggle with anxiety and depression, revealing how treatment over the past five years has helped her reach “an amazing place.”
Speaking on a recent episode of the Casual Chaos podcast, hosted by reality TV star Gia Giudice, Ella, who starred ion the dark comedy play “Dilaria,” admitted, “I’ve struggled with anxiety and depression my whole life.”
She also noted how she’s deal with a constant fear about the future, worrying about what might happen and even fearing for her life, describing it as a “horrible way to live.”
Ella, who has a 20-year-old brother is Quin Stiller, believes that having celebrity parents—her father, actor Ben Stiller and mother, actress Christine Taylor—played a role in her anxiety, as her personal life was frequently exposed to the public.
“Having [to deal] with a lot of personal things in public is really hard, and I think that had a big effect on me,” she continued.
“But I just feel really grateful to talk about it now, because we’re all in this better place. Everyone individually is so happy right now.”
Ella shared that over time, she has grown to value her family moments even more, adding that they are now in a positive place.
As for Ella following in the acting footsteps of her parents, her dad previously told Brut America, that he’s always going to be supportive of his children when they follow their “drive” of what they want to do in life.
A few months back, Ben Stiller also spoke with People about his mistakes as a parent.
“They [Ella and Quin] were very clear with me about what I got wrong. And I really appreciated that, because it’s one of those things where you think you know, ‘Oh, I know what I’m putting out there to them.’ But from their perspective, it was totally different,” he told People, at the premiere of his new documentary, “Stiller & Meara: Nothing Is Lost.”
He added, “And by the way, that’s exactly how it was with my parents. But as the parent, I really couldn’t see that. So to be able to interview them and talk to them about it and hear their honest feelings… and the fact that they were free enough and secure enough to just say what they thought, is something I really appreciated.”
Ben Stiller’s Prostate Cancer Journey
Ben Stiller’s path to his prostate cancer diagnosis started with a prostate-specific antigen (PSA) test at age 46. The PSA test measures the level of prostate-specific antigen in the blood and is often used alongside a digital rectal exam (DRE) to screen for prostate cancer.
Because he was considered at higher risk, Stiller underwent a prostatectomy. This surgery is an option for men in any risk category whose prostate cancer has not spread beyond the prostate gland.
During the procedure, the surgeon removes the entire prostate along with surrounding tissue, including the seminal vesicles, which contribute fluid to semen. Like any major surgery, a prostatectomy can have side effects, such as erectile dysfunction and urinary incontinence.
Writing for Medium, Stiller insisted, “Taking the PSA test saved my life. Literally. That’s why I am writing this now.”
He explained, “There has been a lot of controversy over the test in the last few years. Articles and op-eds on whether it is safe, studies that seem to be interpreted in many different ways, and debates about whether men should take it all. I am not offering a scientific point of view here, just a personal one, based on my experience.
“The bottom line for me: I was lucky enough to have a doctor who gave me what they call a “baseline” PSA test when I was about 46. I have no history of prostate cancer in my family and I am not in the high-risk group, being neither — to the best of my knowledge — of African or Scandinavian ancestry. I had no symptoms.”
Mental Health: The Basics
The term mental health refers to both our emotional and psychological well-being. Our mental health can affect how we think, feel, and behave. Certain triggers like stress, traumatic events, or change in your physical health can affect mental health. It’s really important to keep tabs on your mental health and, if necessary, seek treatment. This doesn’t necessarily mean traditional therapy because while it may be really helpful (even life-changing) for some, that doesn’t mean it’s for everyone.
Problems with mood and overall mental well-being can be attributed to several factors. For some people it’s genetic, while others may be experiencing a response to some sort of stressor or past trauma.
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In order to keep your mental health in check, it’s important to be aware of signs which can be subtle that there is something affecting your mind. These signs include:
- A change in eating or sleeping habits
- Losing interest in people or usual activities
- Experiencing little or no energy
- Numb and/or hopeless feelings
- Turning to drinking or drugs more than usual
- Non-typical angry, upset, or on-edge feelings
- Yelling/fighting with loved ones
- Experiencing mood swings
- Intrusive thoughts
- Trouble getting through daily tasks
These symptoms can be wide-ranging and vary a great deal from person to person. Everyone experiences grief differently, for example. However, if you are feeling unusually sad, on-edge, or like you’re no longer interested in activities you used to love, know that there are many treatment options available and many different healthy ways to help you cope.
Coping With Depression
Dr. Scott Irwin, a psychiatrist and Director of Supportive Care Services at Cedars-Sinai Medical Center, says it’s crucial for patients to talk to their care team about their mental health.
“We all get depressed from time to time, have a sad day, feeling down and blue – that’s part of normal human emotion, part of normal life,” Dr. Irwin explained.
“Some of us, when we’re dealing with difficult things such as a diagnosis of cancer, may be sad or down or blue more often. And sometimes it gets to the point where that depression can be a little bit overwhelming, and we help them through therapy, through non-medication interventions.”
There are many ways to address mental health issues as a cancer survivor. Options may include:
- Meditation
- Practicing mindfulness
- Talking with a therapist
- Joining a support group
- Medication, such as antidepressants
Medication
When doctors and patients together decide that medication is necessary, it’s important that doctors choose wisely.
“I often try to choose medications with the lowest side effect profile,” Dr. Irwin said. “If patients are getting hormonal therapy, there’s particular antidepressants that we can’t use because they may lower the effectiveness of that hormonal therapy and so we choose antidepressants that don’t impact the cancer care.”
This shows how important it is to have communication between everyone you’re seeing, so they can be on the same page about your treatment and options.
Dealing With Grief Related to Health Problems
Another way doctors can tailor mental health medications for their patients is through genetic testing.
Psychiatrist Dr. Lori Plutchik says genetic testing through companies like Genomind can help doctors understand how likely it is a patient may respond to different types of psychiatric medications.
“Doing the genetic testing has absolutely transformed the landscape of psycho-pharmacology,” Dr. Plutchik told SurvivorNet. “It’s something that I highly recommend for anybody who is taking medication, whether they are being treated for cancer, or not.”
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Dr. Plutchik also explained that genetic testing can be specifically helpful for cancer patients because it may help avoid trial and error when it comes to choosing a mental health medication that does not interfere with their cancer treatment.
“So, a person who is dealing with this and may have to go on chemotherapy has already enough on their plate that they don’t really want to start dealing with trial and error with medications,” she said. “So, it gives me information about which medications are likely to work without having problematic side effects, and it also gives information about interactions between any of the psych medications that we choose and the chemotherapy agents that they may be taking.”
Support Groups
Whether you’re coping with an illness, an emotional problem, or life transition, a support group can be a place where people in the same boat, or a similar situation, can come together.
But maybe you’re a little unsure or skeptical about joining a group. What will it be like? Are you expected to share your story?
Dr. Amy McNally, gynecologic oncologist with Minnesota Oncology, tries to reassure her patients that chances are, they’ll derive some benefit.
“I think in a support group you’re going to find women who are in similar situations but yet can share their unique stories,” she says.
“Just being there is worth it. You don’t have to share a thing. You can just sit and listen, or you can be part of the conversation and offer your thoughts. And it can be different every time you go, it’s your choice as to how or whether to participate and what you decide to get out of the group.”
McNally thinks it can be helpful and comforting to be around people who know what you’ve been through, or are going through, and that in and of itself is reason enough to try it out.
Therapy
“People that are struggling with coping with the experience, coping with body image should reach out to their doctors, find a therapist in the community,” says Dr. Irwin.
A patient navigator or social worker can also help connect you with a mental health professional that you can talk to to help process your emotions.
“It’s about meeting the individual patient where they are and their feelings, how they’ve always dealt with their body image, what the body image changes mean now in their lives and their relationships, and how they can move forward given the new reality,” Dr. Irwin said.
Mindfulness
Jon Kabat Zinn, founder of the eight-week stress-reduction program, Mindfulness-Based Stress Reduction (MBSR), a course that has entered the mainstream of health care, scientific study, and public policy, describes mindfulness as “paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally.”
Mindfulness is often suggested for cancer patients to reduce high levels of anxiety and distress associated with diagnosis, treatment, and anticipation of possible disease recurrence.
Both the American Society of Clinical Oncology and the Society of Integrative Oncology recommend meditation as part of a multidisciplinary approach to reduce stress, depression, and mood disturbance, and to improve the quality of life in cancer patients. But the question remains: does it really work? We think it does.
5 tips for practicing mindfulness:
- Choose one daily activity to practice mindfully (e.g. eating your lunch, brushing your teeth or taking a shower). During this activity notice your breath and activity of your mind for a few moments.
- Take a pause throughout your day. During your day, find a moment to stop and take 5 deep breaths with your eyes closed.
- Kindly acknowledge a moment you’re experiencing a difficulty, by putting your hand on your heart and saying, “Feel my pain. How can I be kind to myself in this moment?”
- Get curious about your emotions. Experiment with welcoming your emotions as they come, instead of pushing them away.
- Become aware when you’re in a rush. Ask yourself, “Do I really need to hurry?”
Meditation
Regularly meditating allows people to start to become more aware of the emotions in the physical body and the thoughts running through the mind, to acknowledge their thoughts as they arise, and then gently let them go.
Shannon Masur, a colon cancer and Lynch Syndrome survivor, describes this as “when a thought comes in, to feel it, feel the fear, but let it go after a few seconds.”
All of this is said to result in an overall reduction in stress and anxiety in the body. It may also help patients to control problems such as pain, difficulty sleeping, tiredness, feeling sick and high blood pressure.
For help getting started with meditation, here’s a guided session to try.
WATCH: A Guided Meditation for the SurvivorNet Community
Overall, don’t forget to prioritize your mental health if you’re facing cancer. You might feel like your mind is the least of your worries while fighting the disease, but it’s important to know just how big of an impact your mental well-being can have on your health as a whole.
“Actually, there’s data that if you have extra stress or depression that you may not recover or you have a higher risk or recurrence,” Dr. Irwin said. “So… in treating the depression, we’re actually impacting the cancer care outcomes.”
Questions To Ask Your Doctor
If you’re facing a mental health concern, navigating a diagnosis, or supporting a loved one through emotional challenges, consider asking your doctor the following questions:
- How can I go about improving my outlook/mental health?
- Are there any activities I can do to encourage positive feelings?
- When should I seek other interventions if I’m still struggling?
- What are the steps to finding a different therapist if the one I’m using is not working out?
Contributing: SurvivorNet Staff
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