Group Interventions for Breast Cancer Survivors

Inclusion Criteria:

• History of early-stage breast cancer (DCIS and Stages I, II, IIIA/B, operable Stage IIIC) as recorded in the medical record at MSKCC by self-report, or by outside correspondence, including a study checklist signed by a physician for patients outside of MSKCC
• >3 months from completion of treatment (may be on hormone therapy, such as tamoxifen) as confirmed by the medical record at MSKCC, by self-report, or by outside correspondence, including a study checklist signed by a physician for patients outside of MSKCC
• Age 18 or older
• Access to a telephone, computer, and Internet

For Phase 2 only:

• A score of > or = to 4 on the Distress Thermometer (DT) and indication that this distress is related in some way to the patient's breast cancer or survivorship
• If taking medication for mood, anxiety, depression, thoughts, sensory experiences such as hallucinations, or sleep, stable and consistent in dosage and use of that medication for at least 8 weeks, as confirmed by reports in the medical record at MSKCC, by selfreport, or by outside correspondence, including a study checklist signed by a physician for patients outside of MSKCC
• Did not participate in Phase 1

Exclusion Criteria:

• Evidence of other type of cancer (current diagnosis or history of recurrence/metastasis) EXCEPT basal or squamous cell carcinoma of the skin as confirmed by the medical record at MSKCC, by self-report, or by outside correspondence
• Significant psychiatric or cognitive disturbance sufficient, in the investigator's judgment, to preclude providing informed consent or participating in the groups (i.e., acute psychiatric symptoms which require individual treatment).