Inclusion Criteria:  Youth is aged 13 to 18 years, inclusive. Youth and/or their caregiver is expressing that 'depression" (or some synonym) is a primary concern. Clinician agrees that depressive symptoms are a primary treatment target. Mood and Feelings Questionnaire score is ≥22 at two sequential visits (screening and baseline assessment). Youth must be new to the site (in past 3 months) or have a period of no treatment for 3 months  Exclusion Criteria:  Known or highly suspected presentations of psychotic symptoms that are persistent, affect functioning, and have observable effects on behaviour. Severe substance use disorder, bipolar disorder, autism spectrum disorder or intellectual disability, severe eating disorder, imminent risk of suicide requiring hospitalization as per judgment of the assessing clinician. Inability to provide informed consent to the study for any reason Youth currently in Day Treatment