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A diagnosis of breast cancer can be one of the most difficult challenges a woman, or man, will face.  Fear, anxiety, and depression are just a few of the emotions that may be experienced.  The Cancer Patient Support Program (CPSP) is a comprehensive support service designed for cancer patients and their families which provides support at the Breast Care Center beginning in the Multidisciplinary Clinic where patients meet with the surgeon and radiation and medical oncologists to develop a treatment plan.  A clinical psychologist meets with patients during the Multidisciplinary Clinic, providing a folder with information about CPSP services.  The psychologist assesses distress and recommends what interventions are needed to enable patients to participate fully in the treatment process.  Support services are also available to patients diagnosed with recurrence or those who have developed metastatic disease.  This face-to-face contact along with other services including individual and family counseling, nutritional counseling, support groups, and educational programs all contribute to helping patients realize that they are not alone and that help is available.