 Recruitment Strategy VAMC patients will be recruited through the Primary Care - Mental Health Integration program and CBT Clinic at the Ralph H. Johnson RHJ VAMC. Within these programs, all VAMC patients reporting symptoms of depression and anxiety meet with a mental health staff member to complete a diagnostic interview and self-report measures as part of their standard clinical practices. If VAMC patients endorse symptoms consistent with a depressiveanxiety disorder, the patients interest in participating in research will be assessed and, if agreeable to research, patients will be put in contact with research staff same day meeting andor follow-up phone to schedule research assessment. A research assessment will be completed with the project staff to first complete consent documentation and then assess inclusionexclusion criteria with a targeted sample of 96 VAMC patients; 72 completers, including a semi-structured clinical interview and self-report questionnaires focused on the psychiatric symptoms and quality of life. Participants who meet diagnostic criteria for the targeted disorders will be randomized into a study condition, and will be assigned to a project therapist. Because most VAMC patients who meet study criteria likely will present with multiple depressiveanxiety disorders, principal diagnosis, or the most impairing of the diagnosable disorders, will be used to select patients for participation. To balance diagnoses across the two conditions, a stratified random assignment based on principal diagnosis will be used for the most common principal diagnoses MDD, PTSD, and PD. 