Feasibility of a Creative Writing Intervention in an Advanced Cancer Population: A Single Arm, Consecutive Cohort Study

Inclusion Criteria: 1. Participant must plan to receive follow up care at Dartmouth-Hitchcock. 2. Participant must have a lung or GI primary cancer diagnosed in the last 3 months. 3. Participant must have non-curable cancer as judged by the primary oncologist. 4. Participant must be comfortable conversing in English (reading and writing in English is not required). 5. Participant must be cognitively intact as judged by their responsible clinician. 6. Participant must have access to a working telephone and be willing and available to participate by this modality as needed. 7. Participants may be on anti-depressants and/or anxiolytics as long as the dosing has remained stable over the preceding 2 weeks. Exclusion Criteria: 1. Participant is expected to die in 6 months or less as judged by the responsible clinician. 2. Participant must not have already worked with the staff writer at Dartmouth Hitchcock prior to enrollment in this study. 3. Participant with an activated durable power of attorney for health care or cognitive impairment that interferes with ability to understand prognosis as determined by the primary oncologist. 4. Participant must not have uncontrolled physical symptoms.