Clinical Research Directory

Inclusion Criteria: * Adolescents between the ages of 12 and 17 who have been diagnosed with a major depressive disorder (mild or moderate) and/or an anxiety disorder. * Participants may have co-occurring mild to moderate alcohol or drug use problems, provided these do not require immediate specialized treatment or crisis intervention. * All participants must be receiving care at one of two participating MCHS outpatient psychiatry clinics and may reside in rural area (RUCA code 4-10) or non-rural area. * Participants must be able to read and understand English, and both parental or guardian consent and adolescent assent will be required. Exclusion Criteria: * Current suicidal ideation or self-harm behavior requiring immediate clinical intervention * Presence of severe psychiatric comorbidities such as psychosis, bipolar disorder, depression with psychotic features, severe alcohol and drug use, or eating disorders. * Participants with significant cognitive impairment that would interfere with study participation.