 There are four phases to this treatment development study: 1 initial manual and protocol development not requiring human subject involvement; 2 piloting and revision of the manual by the investigators; 3 training and supervision of new therapists using the new intervention; and, 4 the pilot randomized controlled trial. We have completed the first phase of this study. Currently, we are involved in completing pilot testing and initiating training of new therapists with the protocol n12. A subsequent pilot randomized controlled trial will be used to examine feasibility and preliminary evidence of effects and variability of effects of CBT-RP as an augmenting intervention n36. 