Participants will be audio taped during this study. If a participant does not want to be audio taped, he/she will not be able to participate in the study and will be referred to an alternate provider if interested in receiving services elsewhere. The purpose of audio taping is to monitor consistency among the group sessions and to ensure treatment fidelity. The recordings will be reviewed only by principle investigator Dr. Paulson and the co-investigators, and will be deleted within two weeks of the recording. Audio recordings will be saved locally on an encrypted iPad used only for research purposes that is stored in a locked file cabinet in the OLDeR research lab, which requires code and card access.