Why Mental Health Care Is a Vital Part of Treatment
Depression and anxiety can lead to a lower quality of life and raise the risk of other acromegaly complications.
“Mental health care should be considered essential, not optional,” says August. “With acromegaly, you’re not just dealing with physical symptoms, you’re navigating hormonal shifts, identity changes, uncertainty, and often a long diagnostic journey — that takes a real emotional toll.”
Legere usually suggests a psychological referral when one of her patients is dealing with anxiety, depression, social withdrawal, or difficulty coping with physical changes. “However, to be honest, even when there are no obvious negative reactions, a psychological intervention can be beneficial,” Legere says.
“Therapy, support groups, or even just having a safe space to talk openly can be just as important as medical treatment,” says August. “Addressing anxiety, depression, or isolation isn’t separate from care; it’s part of treating the whole person.”
Specific therapies like cognitive behavioral therapy (CBT) or acceptance and commitment therapy (ACT) can also help you reframe your relationship with your illness.
“With CBT, I work on identifying and gently challenging thoughts like ‘Everyone is staring at me’ or ‘I don’t belong,’ helping patients test whether those beliefs are fully accurate,” says Legere. “ACT takes a slightly different angle by helping patients accept difficult thoughts and feelings without letting them dictate behavior, while reconnecting with personal values like friendship, family, or independence,” she says.