Inclusion Criteria:  Patient inclusion criteria include:  Patients with Stage I-IV breast, colon, rectal, or lung cancer (newly diagnosed within 6 months); age 65 or older. Participants must be living at home (either in her/his own home). Participants must be fluent in English and able to learn basic skills for using a tablet computer to conduct videoconference treatment sessions. Exhibit Mild Cognitive Impairment/Concerns Have an informal family caregiver.  Inclusion Criteria:  (Partner or family member) inclusion criteria include:  Caregivers are 18 older. Be fluent in English and able to learn basic skills for using a tablet computer to conduct videoconference treatment sessions. Either co-reside with the patient or spend at least 3-4 hours day caregiving. Not exhibit cognitive impairment.  Exclusion Criteria:  Participant has visual or hearing impairments that preclude participation. Participant has dementia and do not have the capacity to participate. Have a serious untreated psychiatric illness as documented in medical chart review. The patient and the caregiver score less than a 3 on the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) on a scale 0 to 10 to screen for distress.