In this issue of Patient Education and Counseling we publish a paper by a Dutch group of rehabilitation researchers, with Johanna E. Vriezekolk as the first author, with the title “Behavior change, acceptance, and coping flexibility in highly distressed patients with rheumatic diseases: feasibility of a cognitive-behavioral therapy in multimodal rehabilitation” . The paper describes a theory-driven and empirically based intervention for highly distressed patients with rheumatic disease embedded in a multi-modal rehabilitation program.