Option 1. Facilitator-led Classes 

• Participants will be sent a link to join a Zoom videoconference session. Sessions will be 90 minutes in length, held once per week, for 5 weeks.
• Each session will be facilitated by 1 trained clinician and 1 research assistant. The session will include a PowerPoint presentation of the CBTm material in a lecture format.
• Participants will be invited and encouraged to discuss, comment, and ask questions of the facilitator about the material throughout the presentation. 
• Skills practice will be assigned each session relating to the material that was covered. Participants will have 1 week to work through and practice the skills learned, and this homework will be discussed at the next session. 

Option 2. Web-based Course 

• Participants will receive access to a web-based self-guided CBTm course. The material within this program is identical to the material taught within the facilitator-led groups. Participants will receive access to the Session 1 material upon joining the study at which point they will be able to move through the material at their own pace.
• The material is presented in a slide show format with pre-recorded audio to accompany each slide, in accordance with the material that they would cover if the class was held in person. Material may be completed in a single sitting or the participant can choose to pause the session and return to it at a later time.
• Skills practice will be assigned as in the ZOOM arm through online forms that appear at the end of each session. These forms will be able to be completed online at any point during or after the session.
• One week after completion of Session 1, participants will receive access to Session 2. This one-week timeframe prior to accessing the next session allows participants time to practice the skills learned each week before another class is held.