Inclusion Criteria:

- Primary family caregiver identified by a patient who is approximately within 4 to 6
weeks of a new visit to a thoracic clinic and receiving cancer care at Memorial
Sloan-Kettering Cancer Center or Queens Cancer Center

- Caregiver is at least 18 years of age.

- Caregiver has adequate English fluency for completion of data collection. The surveys
were designed and validated in English and are not currently available in other
languages. Translation of questionnaires into other languages would require
reestablishing the reliability and validity of these measures. Therefore,
participants must be able to communicate in English to complete the surveys.

- Clinically meaningful distress defined as a score of 8 or greater on the Anxiety or
Depression subscale of the HADS (see Bjelland et al., 2002; Zigmond & Snaith, 1983).

Exclusion Criteria:

- Patients or caregivers exhibiting significant psychiatric or cognitive impairment
(dementia/delirium, retardation, active psychosis) that in the judgment of the
investigators would preclude providing informed consent and study participation

- Patient has lung cancer recurrence

- Currently participating in a psychosocial intervention trial