Behavioral Activation and Risk Reduction for Stimulant Use Among Sexually Active Adolescents and Young Adults

This study tests a behavioral counseling program designed to help young people reduce their use of stimulant drugs (like meth, cocaine, or MDMA) and lower their risk of HIV by improving safer sex practices. Sessions are conducted online via video call. **You may be eligible if...** - You are between 16 and 24 years old - You have had unprotected anal or vaginal sex while using stimulants in the last 4 months - You live in the continental U.S. and have access to a device with video calling and stable internet - You have a private location where you can attend online visits **You may NOT be eligible if...** - You are unable to give informed consent due to severe mental or physical illness - You are currently incarcerated or facing incarceration - You are pregnant or planning to become pregnant - You are currently enrolled in another HIV prevention study - You do not speak English Talk to your doctor to see if this trial is right for you.