Problem Solving Skills Training in Adult Cancer Survivors: Bright IDEAS-AC

Inclusion Criteria: * stage I-III Colorectal Cancer, Breast, Bladder or Prostate Cancer * meet the screening criteria for psychological distress (NCCN Distress \>2) * be able to speak English * have a 5-year survival rate of 50% or greater as deemed by their oncologist, surgeon,or other relevant attending physician (suggesting a reasonable rate of cure or prolonged medical survival with state-of-the-art medical care) * be willing to provide written informed consent to participate in the study which includes several clinical evaluations, provide access to medical records/PCP, and allow all interviews and PSST therapy sessions to be audiotaped. * Among patients treated in the urban centers, we will specifically target patients who live more than 40 miles away from the clinic as they are more likely to experience problems with access to care. * Age 21 or older Exclusion Criteria: * a diagnosis of mental retardation, * and/or acute suicidal behavior