 The goal of this study is to examine the effects of an enhanced caregiver training protocol that not only teaches informal caregivers knowledge and skills for managing patient symptoms, but also provides strategies for managing their own psychological distress. The investigators anticipate this training will increase caregivers self-efficacy and improve important caregiver outcomes depression, anxiety, burden, quality of life and patient outcomes symptom distressintensity, depression, anxiety, and quality of life. The study will compare the effects of this protocol to an education control condition that equates for interventionist time and attention. 