Inclusion Criteria:

1. able to understand and speak English;

2. at least 21 years old;

3. active treatment for a diagnosis of non-small cell lung cancer;

4. Karnofsky score > 80;47 and 5) have a telephone by which they can be reached.

Exclusion Criteria:

1. current substance abuse other than tobacco;

2. active treatment for psychiatric disorders excluding depression, and/or use of
antipsychotic medications;

3. cognitive impairment;

4. current active anti-cancer treatment;

5. participation in mindfulness-based classes, guided imagery, yoga, or relaxation
therapy courses; and

6. diagnosis of small cell lung cancer. We excluded small cell lung cancer because of
its very different disease presentation and its associated very rapid disease
progression.