Recovery Through Inhibitory Learning, Self-Efficacy Building, Problem Solving, and Community Building

This study is developing and testing a therapy program designed specifically for sexual minority women and transgender and gender diverse individuals who experience anxiety, depression, or substance use challenges. The program focuses on building coping skills, self-confidence, and community connection. **You may be eligible if...** - You identify as a sexual minority woman or as transgender/gender diverse - You are experiencing mental health challenges such as anxiety or depression - You are not currently receiving mental health therapy more than once a month - You have not received Cognitive Behavioral Therapy (CBT) in the past 3 months - You are not in treatment for alcohol or drug use disorders **You may NOT be eligible if...** - You are currently receiving regular mental health treatment (more than 1 day per month) - You have active psychosis or severe mania - You are experiencing active suicidal ideation at a high level - You need alcohol detox (significant withdrawal symptoms) - You are legally mandated to attend treatment Talk to your doctor to see if this trial is right for you.