Abstract: For many people, cancer is now survivable and has become a long term condition. This week our clinical update reminds us to think about the psychological impact for the growing number of people living with cancer (doi:10.1136/bmj.k1415). As Alexandra Pitman and colleagues explain, depression and anxiety are more common in cancer survivors than in the general population and can occur at all stages of the cancer journey, whether as part of the initial presentation or after a patient is discharged from active management, when the intense schedule of tests …