CALM optimally consists of six individual sessions of 45 to 60 minutes, delivered over a three- to six-month period. CALM sessions address four broad and interrelated domains found to be important and relevant in this population: (1) symptom management and communication with healthcare providers, (2) changes in personal relationships, (3) sense of meaning and purpose, and (4) the future, hope and mortality.

Treatment as usual (TAU) for managing distress in brain cancer involves being provided a list of local / national resources (e.g., psychologist, social worker, or other mental health providers) if an individual chooses to seek treatment for the distress they are experiencing.

The CALM intervention is a supportive-expressive therapy that is administered by CALM trained clinicians in a particular style.

Percent of interested individuals who undergo screening

Percent of eligible individuals who consent to the trial

Percent of consented individuals who complete the CALM intervention

Percent of consented individuals who complete post-intervention questionnaires

Percent of consented individuals who complete follow-up questionnaires

Satisfaction ratings from participants during exit interview (e.g., Rate your overall benefit on a scale of 1-5).

Percent of participants who would recommendation CALM to others will be assessed during the exit interview (e.g., Would you recommend this program to others?)