Distress Screening ➢ Psycho social assessment ➢ Individual therapy sessions altered and designed according to individual needs . ➢ De-addiction counseling – Tobacco , alcohol etc ➢ Pre operative and post operative counseling . ➢ Stress management techniques – Progressive Muscle Relaxation , Guided Imagery and MBSR (Mindfulness Based Stress Reduction ) ➢ Rehabilitation Counseling – Counseling patient about breast prosthesis , Wigs to deal with hair loss , and stoma care etc .