Clinical Research Directory

Inclusion Criteria: 1. Smoke ≥1 cigarettes every day in the past 30 days per participant report. 2. Smoked at least 100 cigarettes (5 packs) in lifetime. 3. Confirmation of cancer and are in active treatment with curative intent or in remission per enrolling investigator or electronic medical record. 4. Age ≥ 18 years at the time of consent. 5. Ability to understand and willingness to sign an IRB-approved informed consent, in English, directly. 6. Able and willing to participate in video conference. Exclusion Criteria: 1. Patients actively receiving external tobacco use counseling or using tobacco cessation medications. 2. Prior experience with more than five sessions of DBT-ST. 3. Life expectancy of six months or less. 4. Medical or psychiatric conditions limiting compliance with study requirements including suspected or reported cognitive impairment. 5. Self-reported use of any psychoactive substance \[except marijuana and nicotine\] within the last 30 days. 6. Have active and severe suicidal ideation at time of eligibility assessment or suicide attempt within the past month.