Spiritual Care or Psychotherapy Versus Palliative Care Alone in Patients With Non-Curative Malignancies

Inclusion Criteria: Patients are eligible to be included in the trial only if all of the following criteria apply * The patient provides written informed consent for the trial. * Male or female ≥18 years of age on the day of informed consent signing. * Histologically confirmed metastatic disease with life expectancy of one year or less. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 3. * Willing and able to comply with the protocol for the duration of the trial including undergoing scheduled visits and interventions. Exclusion Criteria: Patients are excluded from the trial if any of the following criteria apply: * Known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial. If a patient develops a psychiatric disorder after baseline, he/she will not be taken off the trial. * Mobility limitations that would interfere with cooperation with the requirements of the trial. * Confirmed positive pregnancy test in women of child bearing potential.