Inclusion Criteria:

1. Females, age > 18 years.

2. First breast cancer diagnosis, Stages 1-3.

3. Beginning the second chemotherapy cycle.

4. English speaking and literate.

Exclusion Criteria:

1. Previous or concurrent malignancy, except for non-melanotic skin cancers.

2. Lifetime diagnosis of schizophrenia or bipolar disorder.

3. Moderate-severe cognitive impairment indicated by a score < 3 on a 6-item cognitive
screener.