This purpose of this study is to assess two interventions to improve cancer care for older adults with cancer. Patients will be randomly assigned to one of the two interventions, which each consist of four surveys, five telephone sessions, and four subsequent "booster" calls with a licensed mental health counselor. The five telephone sessions each last about 45-60 minutes; the booster calls each last approximately 20-30 minutes. These surveys will include questions about each patient's illness, quality of life, depression, anxiety, and attitudes about aging and can be done via computer or over the phone. Patients will be compensated for their participation.