Inclusion Criteria:  Diagnosis of HNC, with patient scheduled to receive radiation therapy, with or without evidence of active disease Willingness to be seen in the outpatient supportive care center (SCC) History of use of non-medical opioid use (Screener and Opioid Assessment for Patients with Pain [SOAPP] >= 7+ and/or Cut Down, Annoyed, Guilty, and Eye opener questionnaire [CAGE] >= 2+) Physician-estimated prognosis of at least 12 months Age 18 or older Able to complete study assessments Willing to sign written informed consent Both human papillomavirus (HPV) and non-HPV patients will be included Patients currently receiving opioids for at least 1 week Able to read, write and speak English  Exclusion Criteria:  Individual with clinically evident impaired cognition by Memorial Delirium Assessment Scale (MDAS) score of >= 13 Employees of MD Anderson Cancer Center