Inclusion Criteria:  The inclusion criteria for this study are: (1) women who are living with HIV; (2) age 18 (age of adulthood as defined by the Tanzanian government); (3) able and willing to voluntarily consent to participate in the study; (4) able to travel to a data collection in their local community (as described above); (5) demonstrate mental competence at time of informed consent; (6) verbally indicate that they plan to reside in their current community for at least 6 months after enrollment (necessary to prevent attrition); and (7) score at the median or higher level on the Swahili Version of the Multidimensional Measure of Internalized HIV Stigma Scale.  Exclusion Criteria:  At the time of obtaining informed consent, eligible participants will be excluded if there is (1) any acute psychological or physiological distress; if there is evidence of acute psychologic and/or physiologic, they will be excluded from this study and referred to an appropriate site for evaluation and treatment. (2) Transgender women living with HIV will not be eligible to participate in this study to reduce the potential for confounding sources of stigma recognizing that a transgender identity is highly stigmatized and culturally sensitive in Tanzania. Further, it would be exceedingly difficult to recruit a sufficient sample of transgender women living with HIV to conduct an appropriate analysis. (3) Participants may be enrolled in other HIV-related studies except cognitive-behavioral intervention studies addressing stigma, self-efficacy, self-esteem, and/or disclosure