This study examined recently diagnosed breast cancer patients' 'helping relationships', that is, whom they turned to for emotional support and what was the nature of these interactions. We conceptualized the key elements of helping relationships in terms of two communication variables: self-disclosure and empathy. The study aimed to systematically assess women's levels of concerns about various aspects of breast cancer, to whom they disclosed these concerns, and differences in their communication patterns with different helpers. Women were most concerned about the uncertainty of recurrence of cancer and the effect of their illness on people close to them. They identified informal helpers (in particular, partners, close female relatives and female friends), rather than formal helpers, as the most important person to whom they confided. Communication with partners was more problematic than communication with relatives and friends: the largest difference was in perceived empathy, indicating that women felt less understood by their partners. The results were discussed in relation to the helpseeking and social support literatures.