Inclusion Criteria:  be diagnosed with metastatic (AJCC stage IV) non-small cell lung cancer be undergoing first line systemic treatment (chemotherapy, targeted therapy, and/or immunotherapy) for lung cancer at Duke Cancer Institute score >3 on the National Comprehensive Cancer Network Distress Thermometer for distress over the past week (Range: 0-10) be > 18 years of age be able to understand, speak, and read English be able to provide informed consent  Exclusion Criteria:  reported or suspected cognitive impairment subsequently informed by a Montreal Cognitive Assessment (MOCA) of <26 presence of untreated serious mental illness (e.g., schizophrenia) indicated by the medical chart, treating oncologist, or other medical provider expected survival of 4 months or less