Dad diagnosed with stage 4 prostate cancer

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Hi, 

not sure where to start really, i’ve never done this before but like a lot of people in my current situation i feel really alone with it all. My Dad was diagnosed with stage 4 prostate cancer last November (2025), the cancer has spread to his spine and lymph nodes. He’s been in and out of hospital ever since with infections and been really quite ill at times. He’s currently having 6 session of chemo over 4 months (on his 4th session now) and then i think he’s supposed to be on tablets after that for the foreseeable future. He seems to be dealing with it better than i am. I try and remain strong in front of him. And i have periods of being ok and then i just crumble all over again when i’m on my own. I think its been especially hard as he’s been in and out of hospital for the last 7 months and has been really quite ill at times. I find myself not knowing what to do or how to deal with it. For context I’m 33 and i already have quite fragile mental health due to having C-PTSD and the thought of losing my Dad is terrifying me it feels traumatising. 

I know a lot of you will feel the same way, i just feel like nobody i personally know is going through something remotely similar to me at the moment. So its been really difficult to talk to people about it and how i feel. I want to be there for as much as i can but i feel my mental health getting worse the more i take on, me and my partner have been doing everything for the last 7 months. I just always feel like i’m not doing enough for him. Its hard to find a balance that feels right at the moment. 

  • Hello Dorischaps

    Im sorry to read about your Dad and how poorly he has been over the last few months and how worrying and upsetting this is for you. From my own experience when my husband was diagnosed and going through treatment, I know just how much this impacts our mental health. I also know that there are a lot of people on this forum who have been on this same journey and will understand exactly what you are going through. I’m sure they will respond in due course. You are not alone in this!

    There are also a lot of people being treated for stage 4 prostate cancer posting here and I’m sure they will also be replying. When prostate cancer has reached stage 4 it is generally accepted that it can’t be cured but it can be treated and managed for much longer than ever before for most people. It sounds, too, as if your Dad’s medical team are throwing all the well researched and effective treatments at your Dads cancer to control the disease. 

    You say you find yourself ‘not knowing what to do or how to deal with it’. I think we all feel pretty helpless when someone we love has a cancer diagnosis , who we have to watch go through treatment that has nasty side effects and cope with our sense of a real fear of the worst outcome and having no control. However , you are actually doing all the right things! You are trying to be strong for your Dad. You are and have been giving him lots of support and your love and concern for him are obvious and he will know that and draw strength from that.

    I once spoke with a very wise and very experienced mental health nurse. I asked him how he could do such a difficult job listening to the mental anguish of others. He said that this could only be achieved by making sure he himself was ok.  He could only help others by making sure he, himself, was in a good place! I understood this as relevant to my own nursing practice. I could only look after my patients if I was physically well! So, perhaps the best thing you can do to help your Dad is to really look after your own mental and physical health? Rest, eat well, take time out for yourself to do something you enjoy from time to time, be kind to yourself Slight smile

    i wish you and your Dad all the very best and hope that things will soon be looking much better for you.

  •   has stollen all the lines and has made such a grand job of replying to you, I’ll not say the same things as she. Thanks for that, I’ve learned things too.

    Now, about your dad’s cancer. Firstly this is a slow growing cancer and there’s no reason to panic, he’ll be going nowhere fast. This prostate cancer is slow growing and will, as you’ve already found out, filled your head with fear about he having an incurable disease. Yes it’s incurable but there’s loads of treatments to keep us alive for long periods of times. We live in a lucky era.

    Whatever you do, don’t google. There’s plenty of advice here, just ask. Dr Google is not your friend but your foe. Keep a scrap of paper with you at all times because as you’ve found out already there’s lots to learn.

    Keep fit and keep tissues handy. Your emotions will be all over the place and everyone needs to cry. Just cry when you have to. But smile when you can too. If we are breathing and thinking we are alive. That’s a great start to the day. Little wins are still wins.

    Good luck for now

  • Hi  sorry you are struggling but you sound to be doing well for your dad.  Having a Prostate Cancer stage 4 cancer diagnosis isn’t where anyone wants to be, but as others have said, PCa is slow growing and treatments are improving all the time.  Your dad is doing well on his chemo (I only managed 4 out of 6 sessions eight years ago) and once this is over he will slowly recover his strength.  Just be there for him (as I am sure you are).  Please let us know how you get on.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Good morning  

    just want to say Hi and you have reached out to a wonderful group who have life experience of PC. 

    I can’t add anything else to what our friends have said other than . We are all here for you and keep in touch

    best wishes to you and your beloved dad 

    Liz & OH xx