Training in Evidence-based Treatments for Distress

Patient Inclusion Criteria: * Adults \> 18 years of age. * Currently receiving oncology treatment/care at the MGH Cancer Center, including active treatment and/or surveillance. * Reports elevated levels of distress on the National Comprehensive Cancer Network (NCCN) Distress Thermometer \> 3. * Reports distress or presenting problem is related to patients' illness and/or treatment (e.g., cancer treatment). * Has a clinical presentation that matches an evidence-based treatment (e.g., CBT-I for insomnia/sleep disturbance) for cancer-related distress per therapist and supervising therapist discretion. * Located in the state of Massachusetts for the duration of sessions. Caregiver Inclusion criteria: * Adults \> 18 years of age * Currently caring for someone receiving oncology treatment/care at the MGH Cancer Center, including active treatment and/or surveillance * Reports elevated levels of distress on the National Comprehensive Cancer Network (NCCN) Distress Thermometer \> 3 * Reports distress or presenting problem is related to caregiving * 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 * Located in the state of Massachusetts for the duration of sessions Patient Exclusion Criteria: * Has uncontrolled psychosis, active suicidal ideation, or psychiatric hospitalization within the past year (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). * Has a cognitive impairment that prohibits participation in the study (assessed through EHR review and screening session). * Currently participating in group or individual evidence-based psychotherapy treatment or other psychosocial intervention trial. * 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). Therapist Inclusion criteria: -Current appointment as a clinical psychology fellow or psychiatry resident at the Massachusetts General Hospital or equivalent designation. Therapist Exclusion criteria: -Obtained licensure as a clinical psychologist in any state.