Participants will include up to 50 children and adolescents with SCD ranging between the ages of 8 to 18 years of age and their primary caregivers. Participants will be recruited from the Children's Cancer and Blood Disorder Center at Palmetto Health and four DHEC Children's Rehabilitative Services sites (Orangeburg, Columbia, Florence and Sumter). Reviews of behavioral interventions for rheumatoid arthritis or chronic low back pain have indicated typical treatment effect sizes for pain experience and coping of d = 0.46 or greater (Astin et al., 2002; van Tulder et al., 2001). Using this value as a basis for computing study power (with an alpha level of .05) the study has an expected power of .80 with a sample size of 50 participants.