Inclusion Criteria:  Age 19 years or older Diagnosis of type 2 diabetes (based on the presence of two or more outpatient International Classification of Diseases (ICD-10) codes for type 2 diabetes Receipt of care at Cooper Green Mercy Health Systems Authority or Alabama Regional Medical Services (one or more visits to primary care or diabetes clinic within the prior year Presence of moderate-severe diabetes distress (score ≥2 on Diabetes Distress Scale Suboptimal glycemic control (elevated hemoglobin A1c (A1C) ≥7.5%)  Exclusion Criteria:  Non-English speaking Currently pregnant Diagnosis of severe psychiatric comorbidity including bipolar disorder, schizophrenia, or a history of psychosis (based on participant self-report)