Inclusion Criteria:  Age 18 or older English fluency and literacy Patient with an informal caregiver available and willing to participate Hospitalized with any ANI (patient) OR informal caregiver of a patient currently admitted with any ANI Either patient or caregiver exhibits emotional distress on screening (using HADS D or HADS A scores > 7)  Exclusion Criteria:  Permanent cognitive impairment or aphasia that makes participation impossible Mini-Mental State Exam (MMSE) score <24 Glasgow Coma Scale (GCS) score <10 Terminal diagnosis