Inclusion Criteria:  Patients:  biopsy and/or radiograph proven diagnosis of hepatocellular carcinoma, cholangiocarcinoma, gallbladder carcinoma or breast, ovarian, or colorectal cancer with liver metastases with a life expectancy of at least one year; age >21 years; no evidence of thought disorder, delusions, or active suicidal ideation is observed or reported.  Caregivers:  a spouse or cohabitating intimate partner of an advanced cancer patient being evaluated at the UPMC's Liver Cancer Center; and age >21 years  Exclusion Criteria:  Patients:  age < 21 years, lack of fluency in English, evidence of thought disorder, delusions, hallucinations, or suicidal ideation.  Caregivers:  lack of fluency in English; and evidence of thought disorder, delusions, hallucinations, or suicidal ideation.