Combination Therapy for Treatment of Sleep Disturbance in Patients With Advanced Cancer

This study is testing a combination therapy approach — including cognitive behavioral therapy (CBT) and other supportive treatments — to help people with advanced cancer who are experiencing significant sleep problems. **You may be eligible if...** - You have advanced cancer and have been experiencing poor sleep quality for at least 2 weeks (Pittsburgh Sleep Quality Index score of 5 or higher) - You are 18 or older and are cognitively able to answer questions and participate in therapy - You have a life expectancy of at least 1 year as assessed by your oncologist - You have stable or no significant pain - You are able to complete visits in person or via telemedicine in Texas **You may NOT be eligible if...** - You have a known psychiatric illness (schizophrenia, bipolar disorder, major depression) or a pre-existing sleep disorder (sleep apnea, narcolepsy) - You are on systemic anti-inflammatory medications like steroids - You have severe vision problems (glaucoma, significant cataracts, or blindness) - You are unable to communicate in English Talk to your doctor to see if this trial is right for you.