C-SMART: Cognitive Strategies, Mindfulness, and Rehabilitation Therapy for Patients With Primary Brain Tumors

Inclusion Criteria:

1. Confirmed primary brain tumor diagnosis by histology or neuro-oncologist review ofimaging

2. At least one domain of neurocognitive function >1.5 SD below the average or theindividual's estimated premorbid functioning, using the expanded ICCTF clinicaltrials battery and Test of Premorbid Functioning for comparison

3. >1 month post brain surgery and/or radiation therapy, if applicable

4. Estimated premorbid intelligence >75.

5. Patients must be age 18+ and primarily English speaking

Exclusion Criteria:

1. Presence of major neurocognitive impairment that would prevent participation in theintervention, and/or severe aphasia, and/or inability to understand and provideinformed consent

2. Inability to attend weekly telehealth appointments; based on EAB results

3. Clinically significant insomnia symptoms

4. < 1 month post brain surgery and/or radiation therapy

5. Unstable internet connection or an inability to work teleconferencing software.Participants will be supplied an iPad if they do not have an adequate device.

6. To participate in the fMRI portion of this study participants cannot have any metalin their bodies. For the fMRI subset, participants cannot have metal in their bodyas the MRI scan could cause them harm and if female of childbearing years, theycannot be pregnant as the MRI scan may pose risk to the unborn fetus.