 More recently, digitally delivered psychotherapy is being investigated as a low cost, highly accessible treatment method.As awareness of the prevalence of psychological distress that accompanies a cancer diagnosis and increased efforts to integrate evidence based psychosocial treatments into overall oncologic care, screening for adjustment to diagnosis and treatment became important Routine distress screening throughout the cancer process (e.g., diagnosis, treatment, survivorship) is crucial to identifying individuals who are already struggling with symptoms of depression or anxiety or for identifying those at risk for psychological issues related to cancer.Historically, communication about psychological adjustment was lacking between patients and providers regarding topics related to adjustment to diagnosis, living with cancer, living cancer-free in survivorship, or transitioning to end of life care.