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Bosselaar, Jans et al. 2011, Tay and Diener 2011). Tailored psychosocial interventions can support patients in this process.\u000DAt the Netherlands Cancer Institute interventions for psychosocial problems are offered before, during and after completion of treatment. Within the head and neck rehabilitation programme, the psychiatric nurse, social worker, creative therapist and activity coordinator (for motivational therapy) all contribute within this psychosocial part of the programme.\u000D5.7.4.1 Social work and the psychiatric nurse\u000DThe various domains measured in the Distress thermometer are included in the diagnostics and interventions performed by the social worker and psychiatric nurse. Below is a list of domains in which problems may occur:\u000D- Practical problems\u000D- Family / social problems\u000D- Emotional problems\u000D- Religious / spiritual problems\u000D- Physical problems\u000DThe following interventions are offered to reduce patients\u2019 psychosocial problems:\u000D- Psycho-education\u000D- Contextual therapy\u000D- Return-to-work counselling\u000D- Counselling on relationships, sexuality and intimacy\u000D- Mindfulness\u000D5.7.4.2 Activity coordinator\u000DThe activity coordinator takes care of motivational therapy, which at the Netherlands Cancer Institute is offered to patients in the clinical and follow-up phases of the illness. It is tailored to those patients who require help in finding daily activities and developing hobbies. It is aimed at finding a meaningful way of spending leisure time. Within the head and neck cancer patient group it is also a first step to get out and about again; social isolation may thus be prevented or overcome.\u000D5.7.4.3 Creative therapy\u000DThe Netherlands Cancer Institute offers creative therapy as part of the rehabilitation programme. Creative therapy is a form of psychotherapy in which expressive skills are developed under the guidance of a specialised therapist with the aim of encouraging personal development that increases the patient\u2019s wellbeing. The therapy is aimed at patients who are having trouble coping with cancer or treatment effects. It is particularly suited for patients who claim to be out of touch with their emotions, for patients who rationalise, and are verbally strong, but also for patients whose emotions tend to overwhelm them. The therapy pays attention to acceptance, loss, coping, self-image and anxiety (Gordijn 2004). Creative therapy is a process that can be tailored to the individual patient. After application with the rehabilitation specialist or case manager (as well as after discussion in the multidisciplinary meeting) the creative therapist will meet the patient for an intake. During the intake and medical history-taking any changes due to the illness are mapped out, treatment goals (SMART) are formulated and expectations are explicated. The therapeutic process extends over eleven to\u000D137\u000D