Evidence-Based Psychotherapy for the Reduction of Stress from Treatment for Cancer Patients or Caregivers

Inclusion Criteria

• PATIENT: Adults >= 18 years of age
• PATIENT: Currently receiving oncology treatment/care at the Massachusetts General Hospital (MGH) Cancer Center, including active treatment and/or surveillance
• PATIENT: Reports elevated levels of distress on the National Comprehensive Cancer Network (NCCN) Distress Thermometer >= 3
• PATIENT: Reports distress or presenting problem is related to patients’ illness and/or treatment (e.g., cancer treatment)
• PATIENT: Has a clinical presentation that matches an evidence-based treatment (e.g., cognitive behavioral therapy for insomnia [CBT-I] for insomnia/sleep disturbance) for cancer-related distress per therapist and supervising therapist discretion
• PATIENT: Located in the state of Massachusetts for the duration of sessions
• CAREGIVER: Adults >= 18 years of age
• CAREGIVER: Currently caring for someone receiving oncology treatment/care at the MGH Cancer Center, including active treatment and/or surveillance
• CAREGIVER: Reports elevated levels of distress on the National Comprehensive Cancer Network (NCCN) Distress Thermometer > 3
• CAREGIVER: Reports distress or presenting problem is related to caregiving
• CAREGIVER: Has a clinical presentation that matches an evidence-based treatment (e.g., CBT-I for insomnia/sleep disturbance) for caregiving-related distress per therapist and supervising therapist discretion
• CAREGIVER: Located in the state of Massachusetts for the duration of sessions
• THERAPIST: Current appointment as a clinical psychology fellow or psychiatry resident at the Massachusetts General Hospital or equivalent designation

Exclusion Criteria

• PATIENT: Has uncontrolled psychosis, active suicidal ideation, or psychiatric hospitalization within the past year (assessed through electronic health record [EHR] review and screening session using the QuickSCID-5), indicating the need for tailored treatment referral to specialty mental healthcare outside of psycho-oncology or to a higher level of care such as an intensive outpatient program (IOP)
• PATIENT: Has a cognitive impairment that prohibits participation in the study (assessed through EHR review and screening session)
• PATIENT: Currently participating in group or individual evidence-based psychotherapy treatment or other psychosocial intervention trial
• PATIENT: Has an alcohol or substance dependence (other than nicotine dependence) in the past 8 weeks (assessed through EHR review and screening session using the QuickSCID-5), indicating the need for tailored treatment referral to specialty mental healthcare outside of psycho-oncology or to a higher level of care such as an intensive outpatient program (IOP)
• CAREGIVER: Has uncontrolled psychosis, active suicidal ideation, or psychiatric hospitalization within the past year (assessed through screening session using the QuickSCID-5), indicating the need for tailored treatment referral to specialty mental healthcare outside of psycho-oncology or to a higher level of care such as an intensive outpatient program (IOP)
• CAREGIVER: Has a cognitive impairment that prohibits participation in the study (assessed through screening session)
• CAREGIVER: Currently participating in group or individual evidence-based psychotherapy treatment or other psychosocial intervention trial
• CAREGIVER: Has an alcohol or substance dependence (other than nicotine dependence) in the past 8 weeks (assessed through screening session using the QuickSCID-5), indicating the need for tailored treatment referral to specialty mental healthcare outside of psycho-oncology or to a higher level of care such as an intensive outpatient program (IOP)
• THERAPIST: Obtained licensure as a clinical psychologist in any state