Clinical Research Directory

Inclusion Criteria: * Adult cancer patients diagnosed with advanced cancer (solid tumor and hematologic) * Progressed past at least one line of palliative systemic cancer therapy * Patient followed by Supportive Care Outpatient Service * English speaking * Able to provide written informed consent * Willing to participate in a stress and coping program * Willing to identify 1-2 important areas of life they might like to discuss with a counselor * Moderate levels of death anxiety on DADDS (\>=25, on 0-75 scale) * Access to technology to support institutionally approved video-conferencing platform of Zoom Exclusion Criteria: * ECOG performance status \>=3 "capable of only limited selfcare; confined to bed or chair more than 50% of waking hours" * Currently participating in regular psychotherapy (patient defined) * Documented out of hospital DNR (do not resuscitate) orders * Presence of active suicidal ideation or need for a higher level of care (as determined by Supportive Care physician or licensed mental health clinician).