Table 2.

Results by Age at Diagnosis: Relationship to Self

	Adolescent		Young Adult
	Yes	No	Yes	No
Session 3a	n = 11		n = 4
Did you receive counseling services at any time?	6	4	3	1
Was your spiritual distress highest at diagnosis and/or during treatment?	5	1	2	2
After your cancer diagnosis, please select how the following attributes of your life changed:	Quite a Bit or A Great Deal	Not at All, Very Little, Somewhat	Quite a Bit or A Great Deal	Not at All, Very Little, Somewhat
Ability to participate in hobbies/activities	4	7	2	2
Emotional changes (mood, anxiety, etc.)	7	3	2	2
Spirituality	2	9	0	3

Session 4	n = 7		n = 1
Did cancer affect your body image?a	6	1	1	0
How often would you like to discuss the following with your medical team:	≥Monthly	≤Twice per year	≥Monthly	≤Twice per year
Sex	2	5	0	1
Drugs	2	5	0	1
Suicide	4	3	0	1
Risky Behavior	4	3	0	1

Quotes
“I felt like honestly a lot of my like sadness or loneliness actually came later like after treatment just feeling alone as a survivor and you know I'm not being surrounded by other people who have gone through what I've gone through. I think I felt more emotion afterwards.”
“It wasn't until recently [after I began having anxiety attacks] that they gave me the option that we have a psychologist that can come in and talk to you and give you resources… that was something missing in my treatment.”
“I've been going… completely insane and mad… I had depression and insomnia… I'm sick and tired of going through this… It's not even the fact that I had cancer, it was that fact that… it won't stop.”

^aNot all participants answered all questions, so results do not always equal the number of participants.