Participants
volatile personality disorders, cognitive impairment, cognitive linguistic impairment, depression/anxiety, aphasia, unstable psychiatric disorders
BRAIN METASTASIS, METASTATIC CANCER
We enrolled English-speaking clinic patients 18 years and older, with a diagnosis of metastatic cancer (minimum prognosis of 3 months or more), existential or spiritual concerns (based on screening survey), and reasonable medical stability as assessed by the evaluating physician. Exclusion criteria included unstable psychiatric disorders that would detract from a group program (eg, uncontrolled depression/anxiety, volatile personality disorders). Women with brain metastasis with significant cognitive impairment that would preclude participation in a psycho-education program or cognitive linguistic impairment (eg, aphasia) were also excluded.