Researchers are trying to see if proactive identification and team based individualized care of cancer patients having emotional difficulties can improve quality of life relative to treatment as usual. Also, to see if proactive approaches to maintain wellness can prevent grief among breast cancer patients, experiencing no emotional difficulties relative to treatment as usual.

Consented subjects will be randomized into two separate groups. Groups will be distressed and non-distressed subjects. Each group will be randomized into either intervention education training or standard of care. Both groups will be asked to fill out questionnaires during the duration of the study. Subjects will be remain in the study for up to one year.

Inclusion Criteria:

• Diagnosis of breast cancer within last three years
• Able to communicate in English or with the help of an interpreter.
• Access to a device with internet connection

Exclusion Criteria:

• Breast cancer patients who are considered for hospice or expected survival of less than six months.
• Presence of active suicidal ideations.
• Presence of active psychosis.
• Presence of dementia