Randomised controlled trial of telephone based cognitive behavioural therapy (CBT) for patients with chronic lung disease and anxiety and/or depression undergoing pulmonary rehabilitation to evaluate the effect on symptoms of anxiety and depression, quality of life, and exacerbations

This study tests whether adding telephone-based cognitive behavioural therapy (CBT) to a standard pulmonary rehabilitation program helps people with chronic lung disease who also have anxiety or depression. CBT teaches practical ways to change unhelpful thinking patterns and manage emotions. You may be eligible if: - You are between 18 and 90 years old - You have a chronic lung disease (such as COPD or another long-term lung condition) - You are enrolled in a pulmonary rehabilitation program - You score above a certain threshold on anxiety or depression screening tools You may NOT be eligible if: - You cannot provide written informed consent - You have a known psychotic disorder - You have cognitive impairment (scoring below 25 on a standard cognitive test) - You are currently enrolled in another interventional clinical trial that may interfere with this one Talk to your doctor about whether this trial might be right for you.